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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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HUMAN SERVICES AGENCY
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DATE:
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7/13/05
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BOARD MEETING DATE:
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7/26/05
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Maureen D. Borland, Director, Human Services Agency
Judy Davila, Acting Director of Substance Abuse and Shelter Services
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SUBJECT:
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Fee-For-Service Agreements for Providers of Alcohol and Drug, Prevention and Treatment Services for FY 2005-06
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RECOMMENDATION:
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Adopt a Resolution authorizing:
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1.
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The waiver of the Request for Proposal Process (RFP);
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2.
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The execution of the Fee-For-Service Agreements with: Asian American Recovery Services; California Detoxification Programs, Inc.; Daytop Village, Inc.; El Centro de Libertad; Free at Last; Horizon Services, Inc.; The Latino Commission; Project Ninety, Inc.; Pyramid Alternatives; Service League of San Mateo County; Sitike Counseling Center; Walden House, Inc.; Women’s Recovery Association; and Youth and Family Enrichment Services. The term of these Agreements is July 1, 2005 through June 30, 2006; and
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3.
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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:
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a)
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Reducing the County’s maximum fiscal obligation in the event there is a commensurate reduction in the funding received by the County;
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b)
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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
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c)
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Modifying the types of services provided by the Contractors, as long as the modifications do not increase the County’s maximum fiscal obligation.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal Number 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.
The Fee-For-Services 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.
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Performance Measure(s): Alcohol and Drug Service Providers are 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.
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Measure
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FY 2004-05
Actual
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FY 2005-06
Projected
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Percent of clients reducing or abstaining from alcohol and/or other drug use at 3 months, and 9 months after intake.*
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3 months 76%
9 months 78%
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*6 months - at least 60%
*12 months - at least 45%
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Percent of criminal justice clients retained in treatment or until completion of program.
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50%
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52%
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Percent of youth (6th grade and above) in alcohol and drug prevention programs who report abstinence or reduction in the use of alcohol, tobacco and other drugs during the length of time the youth are being served in the program.
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71%
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71%
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* Previously this OBM measure, measured the percent of clients reducing or abstaining from alcohol and/or other drug use at 3 months and 9 months post-intake. The follow-up time frame for FY 2005-06 has been changed to 6 months and 12 months post-intake in order to align with Federal follow-up standards. Data is currently in development.
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BACKGROUND:
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These fourteen (14) Agreements will provide an array of alcohol and drug treatment services including, but not limited to: substance abuse education and early intervention; treatment readiness; outpatient treatment; nonresidential treatment; residential treatment; aftercare; HIV outreach; linkages to other resources; recovery support; and methadone detoxification and maintenance service. The contracts include Fee-For-Service payment provisions.
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Referrals to these providers for such services are made by a variety of sources, including the Adult and Juvenile Courts, Child Welfare Services, Family Self-Sufficiency Teams, Adult and Juvenile Probation, Alcohol and Other Drug Assessors, and others.
On August 5, 2003 and August 31, 2004, through Resolutions number 066183 and 066889, the Board of Supervisors authorized the execution of Fee-For-Services agreements with the same contractors in order to provide consistent and continuous services to at risk individuals in San Mateo County.
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DISCUSSION:
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These Agreements will continue Fee-For-Service alcohol and drug treatment services for FY 2005-06. Sixty-two percent (62%) of the services will be provided through the County’s Substance Abuse Crime Prevention Act (SACPA)/Prop 36 Program. SACPA/Prop 36 was implemented in January 2001, by providers selected through a Request for Qualifications (RFQ) process. For FY 2001-02, providers were selected through a Request for Proposal (RFP) process. Since that time, the request for proposals process has been waived with respect to agreements with these providers so that services can be provided without interruption.
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The Board of Supervisors is being asked to waive the RFP process as it is in the County’s best interest to continue to contract with these Contractors so there is no break in services to the community and in order to provide stability to the network of service providers. These fourteen (14) providers have been engaged in providing alcohol and drug treatment and prevention services in San Mateo County for AODS since FY 2001-02, and they have in-depth knowledge of treatment and prevention services as well as promoting culturally appropriate services within San Mateo County.
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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.
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FISCAL IMPACT:
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The term of these Agreements will be from July 1, 2005 through June 30, 2006. The total funding obligation for these fourteen (14) Agreements is $3,481,847. The services under this Agreement are funded by the following sources:
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SACPA/Proposition 36
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$2,158,000
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SACPA SB 223 Drug Testing
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$60,607
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OCJP Drug Court Partnership Grant
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$112,562
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OCJP Comprehensive Drug Court Imp.Grant
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$166,690
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CSAT HIV Door-to-Treatment Grant
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$100,000
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Ryan White Care Act
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$100,000
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Drug Medi-Cal
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$255,000
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Cal WORKs Single Allocation
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$182,282
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County Funded Services (Catholic Charities)
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$15,562
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NNA Funded Services
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$331,144
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Total Funding Obligations
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$3,481,847
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Funding for these obligations has been included in the Human Services Agency FY 2005-06 Adopted Budget. There is $15,562 budgeted Net County Cost.
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