COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Human Services Agency

DATE:

June 2, 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 Other Drug Services

SUBJECT:

First, Second and Third Amendments to the Existing Fee-For-Service Agreements for Alcohol and Drug Treatment Services

Recommendation

Adopt a Resolution authorizing execution of the:

1.

First Amendment to the FY 2002-03 fee-for-service Agreement with Horizon Services, Inc.

2.

Second Amendments to the FY 2002-03 fee-for-service Agreements with: 1) Daytop Village, Inc.; 2) Family And Community Enrichment Services, Inc. and 3) Youth and Family Assistance; and

3.

Third Amendments to the fee-for-service Agreements with: 1) Asian American Recovery Services; 2) Avalon Counseling Services; 3) El Centro de Libertad; 4) Free At Last; 5) The Latino Commission; 6) Project Ninety, Inc.; 7) Pyramid Alternatives; 8) Service League of San Mateo County; 9) Sitike Counseling Center; 10) Walden House, Inc.; and 11) Women’s Recovery Association.

4.

Amendments to all of the FY 2002-03 fee-for-service Agreements to extend the term to August 5, 2003.

Background

On October 1, 2002, Alcohol and Other Drug Services released a Request For Proposals for SACPA/Proposition 36 alcohol and drug treatment services for individuals with co-occurring disorders and aftercare service needs. The notice of recommendations was released on December 11, 2002. Seven agencies were recommended to provide alcohol and drug aftercare and/or treatment services for individuals with co-occurring disorders.

On October 22, 2002, the Board adopted a Resolution authorizing the execution of fourteen fee-for-service Agreements with various alcohol and drug treatment providers. Under these Agreements the agencies provide alcohol and drug treatment services funded by state and federal drug court grants and/or Substance Abuse Crime Prevention Act (SACPA)/ (Proposition 36).

On February 4, 2003, the Board executed First Amendments to eleven fee-for-service Agreements containing drug court services funded through the state Comprehensive Drug Court Implementation (CDCI) grant. The First Amendments decreased the CDCI aggregate contract amount and added state Drug Court Partnership Act (DCPA) funds and services.

On April 22, 2003, the Board executed First and Second Amendments to 14 fee-for-service Agreements and entered into a new Agreement with Horizon Services, Inc. On that date, the Board approved an increase in aggregate funding for SACPA/Proposition 36 alcohol and drug treatment services to $2,401,414. In addition, an aggregate amount of $37,500 was added through a federal Center For Substance Abuse Treatment (CSAT) HIV “Door-to-Treatment” grant to provide HIV outreach, linkages, and recovery services. These services include collaborative efforts with Free At Last to provide outreach, case management and referral to the Alcohol and Other Drug Services (AOD) social workers.

Discussion

These Amendments to the existing fee-for service Agreements adds unexpended funding for the provision of alcohol and drug treatment and aftercare services under SACPA/Proposition 36, CSAT, and Comprehensive Drug Court Implementation (CDCI) grant, and extends the term of all of the Agreements to August 5, 2003.

In addition, Daytop Village, Inc. is being added to the pool of providers of Drug Court Partnership (Trial Track) alcohol and drug treatment services.

The total aggregate Contract obligation for SACPA/Proposition 36 services will be increased by $390,000, from $2,401,414 to $2,791,414 for FY 2002-03 in order to meet the projected service needs of SACPA/Proposition 36 clients.

The total aggregate contract obligation for CSAT HIV Door-to-Treatment funding is being increased by $12,500, from $37,500, to $50,000 for the remainder of FY 2002-03, to seven existing fee-for-service Agreements through unexpended funds, to meet the projected service needs of their clients.

Aggregate funding for services under the CDCI, is being increased $80,823 to $141,000, through unexpended FY 2002-03 funding. The funding is shared among eleven providers.

The approval of the request to extend the term of all the Agreements to August 5, 2003, will allow time to receive more information from the state regarding FY 2003-04 appropriations and will help ensure that quality services will continue to be provided.

The Resolution and Amendments have been reviewed and approved by County Counsel as to form.

Risk Management has reviewed and approved the Contractors’ insurance coverage.

Vision Alignment

The fee-for-service Agreements keep the commitment of realizing the potential of our County’s vulnerable population and goal number 8: Help vulnerable people achieve a better quality of life. These Agreements contribute to this commitment and goal by providing alcohol and drug treatment services to SACPA probationers and parolees and individuals at-risk of HIV who are referred for alcohol and drug treatment services by County Alcohol and Other Drug Services.

Fiscal Impact

These Amendments will extend the term of the Agreements to August 5, 2003, and adds $390,000 to the aggregate fee-for-service contracts for SACPA/Proposition 36 funded services to increase the aggregate total from $2,401,414 to $2,791,414. Funding for these services is available from unexpended prior year Proposition 36 allocations.

These Amendments adds $12,500 to the aggregate contract obligation for CSAT HIV “Door-to-Treatment” services to increase the aggregate total from $37,500, to $50,000. Funding for these services is available from unexpended CSAT grant funds allocated by the County Health Department

The aggregate Contract obligation under CDCI funding is being increased from $60,177 to $141,000, through unexpended FY 2002-03 funding.

Adequate funding has been included in the proposed FY 2003-04 budget to cover the contract expenditures to August 5, 2003. There is no additional Net County Cost associated with the additions to the aggregate amounts.