20041214_m

COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Human Services Agency

DATE:

November 3, 2004

BOARD MEETING DATE:

December 14, 2004

TO:

Honorable Board of Supervisors

FROM:

Maureen D. Borland, Director, Human Services Agency

Yvonne Frazier, Director, Alcohol and Other Drug Services

SUBJECT:

Agreement with Horizon Services, Inc. for Center for Substance Abuse Treatment (CSAT) Funded Alcohol and Drug Treatment Services for the period of September 30, 2004 through September 29, 2009

Recommendation

Adopt a resolution authorizing the execution of an Agreement with Horizon Services, Inc. in the amount of $1,000,000 for the term of September 30, 2004 through September 29, 2009.

Background

The Human Services Agency, Alcohol and Other Drug Services (AOD) in collaboration with the San Mateo County Office of Housing, Horizon Services, Shelter Network, Samaritan House and Allen/Loeb Associates, submitted an application to the Department of Health and Human Services (DHHS) for a five-year grant to provide a spectrum of substance abuse treatment services to persons at the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters in San Mateo County. These agencies have a demonstrated ability to provide services to the homeless population in San Mateo County through prior CSAT Agreements, and have committed to participate in the implementation of this project as they have done in the past. The DHHS has a strong preference for the pre-selecting of service providers with demonstrated ability to provide the proposed services to the target population and a strong history of collaboration with County departments involved in the projects it funds.

On September 30, 2004 the Human Services Agency received notification from DHHS that it had been awarded a grant in the amount of $1,991,088 for the period September 29, 2004 to September 30, 2009. The grant award will allow the County to expand services in the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters, in three critical evidence-based practice areas: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Intensive Outpatient Treatment.

On December 7, 2004, the Board of Supervisors will adopt a resolution accepting CSAT Grant Number 1 H79 TI 16683-01, and waive the Request for Proposals (RFP) process and authorize the Alcohol and Other Drug Services to initiate five- year contracts with the service providers designated in the grant proposal including Horizon Services, Inc. Due to the urgency of the starting date of this grant we are submitting the contract with Horizon Services, Inc. to the Board of Supervisors while the CSAT grant acceptance resolution is being processed.

Discussion

As stated above, the grant award will allow the County to expand services in the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters, in three critical evidence-based practice areas: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Intensive Outpatient Treatment.

Through contracts with the collaborating treatment provider, Horizon Services, trained substance abuse counselors will be placed at the two shelter sites. The counselors will provide formal assessment, case management, and individual and group substance abuse treatment utilizing CBT and MI to a total of 450 homeless men and women over the life of the grant. In addition, services will include linkages and referral of clients to additional treatment and ancillary services including assistance with accessing transitional or permanent housing.

Performance Measures

Evaluation of the five-year project will be conducted by Allen/Loeb Associates to assess treatment effectiveness through use of the Addiction Severity Index (ASI), random urinalysis results, client retention data, California Alcohol and Drug Data System (CADDS) and CSAT’s Government Programs Reporting Act (GPRA) tool.

Performance Measures Projected Objectives each Fiscal Year

Number of homeless clients receiving treatment

450 homeless men and women over the life of the grant.

Maximize retention and treatment completion

80% of clients entering treatment will be retained for at least one month.

Reduce substance abuse and increase abstinence

80% of clients completing treatment will report abstinence or reduced substance intake at six and twelve month follow up.

Improve and maintain physical and mental health, social and family functioning, employment and education, and legal status

80% of clients completing treatment will show improved functioning across these domains as measured by ASI and/or GPRA at 6 month and 12 month follow-up.

Vision Alignment

The services provided under this Agreement 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 for life. The Agreement with Horizon Services, Inc. contributes to this commitment and goal by providing homeless individuals 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

The five-year Agreement period with Horizon Services, Inc. is September 30, 2004 through September 29, 2009. The total funding for the term of this Agreement is $1,000,000, and it is funded through CSAT Grant Number 1 H79 TI 16683-01. There is no Net County Cost.



COUNTY OF SAN MATEO Inter-Departmental Correspondence
Human Services Agency

DATE:		November 3, 2004
BOARD MEETING DATE:		December 14, 2004

TO:	Honorable Board of Supervisors
FROM:	Maureen D. Borland, Director, Human Services Agency
	Yvonne Frazier, Director, Alcohol and Other Drug Services
SUBJECT:	Agreement with Horizon Services, Inc. for Center for Substance Abuse Treatment (CSAT) Funded Alcohol and Drug Treatment Services for the period of September 30, 2004 through September 29, 2009

Recommendation
Adopt a resolution authorizing the execution of an Agreement with Horizon Services, Inc. in the amount of $1,000,000 for the term of September 30, 2004 through September 29, 2009.

Background
The Human Services Agency, Alcohol and Other Drug Services (AOD) in collaboration with the San Mateo County Office of Housing, Horizon Services, Shelter Network, Samaritan House and Allen/Loeb Associates, submitted an application to the Department of Health and Human Services (DHHS) for a five-year grant to provide a spectrum of substance abuse treatment services to persons at the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters in San Mateo County. These agencies have a demonstrated ability to provide services to the homeless population in San Mateo County through prior CSAT Agreements, and have committed to participate in the implementation of this project as they have done in the past. The DHHS has a strong preference for the pre-selecting of service providers with demonstrated ability to provide the proposed services to the target population and a strong history of collaboration with County departments involved in the projects it funds. On September 30, 2004 the Human Services Agency received notification from DHHS that it had been awarded a grant in the amount of $1,991,088 for the period September 29, 2004 to September 30, 2009. The grant award will allow the County to expand services in the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters, in three critical evidence-based practice areas: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Intensive Outpatient Treatment. On December 7, 2004, the Board of Supervisors will adopt a resolution accepting CSAT Grant Number 1 H79 TI 16683-01, and waive the Request for Proposals (RFP) process and authorize the Alcohol and Other Drug Services to initiate five- year contracts with the service providers designated in the grant proposal including Horizon Services, Inc. Due to the urgency of the starting date of this grant we are submitting the contract with Horizon Services, Inc. to the Board of Supervisors while the CSAT grant acceptance resolution is being processed.

Discussion
As stated above, the grant award will allow the County to expand services in the Maple Street (Shelter Network), and Safe Harbor (Samaritan House) shelters, in three critical evidence-based practice areas: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Intensive Outpatient Treatment. Through contracts with the collaborating treatment provider, Horizon Services, trained substance abuse counselors will be placed at the two shelter sites. The counselors will provide formal assessment, case management, and individual and group substance abuse treatment utilizing CBT and MI to a total of 450 homeless men and women over the life of the grant. In addition, services will include linkages and referral of clients to additional treatment and ancillary services including assistance with accessing transitional or permanent housing.

Performance Measures Evaluation of the five-year project will be conducted by Allen/Loeb Associates to assess treatment effectiveness through use of the Addiction Severity Index (ASI), random urinalysis results, client retention data, California Alcohol and Drug Data System (CADDS) and CSAT’s Government Programs Reporting Act (GPRA) tool. Performance Measures Projected Objectives each Fiscal Year Number of homeless clients receiving treatment 450 homeless men and women over the life of the grant. Maximize retention and treatment completion 80% of clients entering treatment will be retained for at least one month. Reduce substance abuse and increase abstinence 80% of clients completing treatment will report abstinence or reduced substance intake at six and twelve month follow up. Improve and maintain physical and mental health, social and family functioning, employment and education, and legal status 80% of clients completing treatment will show improved functioning across these domains as measured by ASI and/or GPRA at 6 month and 12 month follow-up.
Vision Alignment
The services provided under this Agreement 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 for life. The Agreement with Horizon Services, Inc. contributes to this commitment and goal by providing homeless individuals 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
The five-year Agreement period with Horizon Services, Inc. is September 30, 2004 through September 29, 2009. The total funding for the term of this Agreement is $1,000,000, and it is funded through CSAT Grant Number 1 H79 TI 16683-01. There is no Net County Cost.