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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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January 10, 2006
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BOARD MEETING DATE:
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January 31, 2006
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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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Glen H. Brooks, Jr., Interim Director, Human Services Agency
Stephen Kaplan, Northern Region Director
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SUBJECT:
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Acceptance of the Department of Health and Human Services (DHHS) Center for Substance Abuse Treatment (CSAT) Grant Number 1 H79 TI 17308-01 and Agreements with Asian American Recovery Services and WestEd
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RECOMMENDATION:
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Adopt a Resolution:
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1.
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Accepting a thirty six (36) month grant from the DHHS/CSAT to provide culturally competent family-based treatment for Asian American and Pacific Islander youth and their families, in the amount of $1,490,276. This grant was awarded on August 25, 2005 for the Family Oasis Program;
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2.
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Waiving the Request for Proposal (RFP) process for the services funded by the grant;
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3.
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Authorizing an Agreement with Asian American Recovery Services (“AARS”) in the amount of $1,215,779 and an Agreement with WestEd in the amount of $150,000, for contracted services funded by the grant, for the term of September 30, 2005 to September 29, 2008; and
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4.
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Authorizing the Director of the Human Services Agency to:
a) Execute all necessary documents in connection with any modifications made by the State with respect to the Grant;
b) Execute subsequent Amendments and minor modifications not to exceed an aggregate amount of $25,000 for each such Agreement; and
c) Make changes in the types of services and activities provided by the Contractor, provided that the changes have no impact on the County’s maximum fiscal obligation under these Agreements.
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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 grant from the DHHS/CSAT Center and the Agreements with AARS and WestEd will contribute to this commitment and goal by assisting Asian American and Pacific Islander youth and their families with Brief Strategic Family Therapy and other treatment services, thereby, providing a healthier and safer community for all.
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PERFORMANCE MEASURE (S):
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Evaluation of the thirty six (36) month project will be conducted by WestEd to assess treatment effectiveness through use of the Global Appraisal Individual Needs (GAIN) and Government Performance Reporting Act (GPRA) tool.
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PERFORMANCE MEASURES
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PROJECTED OBJECTIVES
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Number of Program Participants receiving substance abuse treatment.
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165 Clients for the term of the Agreement.
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Number of Family members receiving enhancement services utilizing Brief Strategic Family Therapy.
240 Family members for the term of the Agreement.
Percentage of Program Participants receiving follow-up services and showing improvement.
80% of Program Participants will receive follow-up services and show improvement as measured by GAIN and GPRA at three (3) and six (6) month follow-ups. Improvement includes: physical and mental health, social and family functioning, employment, education and legal status.
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BACKGROUND:
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In response to a Federal grant funding announcement, interested community organizations were invited to participate in a series of planning sessions to design a collaborative effort to provide culturally competent family-based treatment for Asian American and Pacific Islander youth and their families. The Human Services Agency, Alcohol and Other Drug Services (AODS) in collaboration with the AARS and WestEd, submitted an application to the DHHS/CSAT for a thirty six (36) month grant, to provide specific services. These agencies have demonstrated an ability to provide services to this population in San Mateo County and are committed to participating in the implementation of this project.
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DISCUSSION:
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The purpose of the Family Oasis Program is to build a countywide family treatment system for Asian American/Pacific Islander (AA/PI) families based on the Brief Strategic Family Therapy protocol. Target families will be those that have a child with a substance abuse disorder and co-occurring mental health disorders, educational, juvenile justice, or family risk factors. San Mateo County Alcohol and Other Drug Services (AODS) believes the uniqueness of this program is in its ability to establish an effective family therapy program serving a county that has one of the most densely settled populations of AA/PIs. The Family Oasis Program will implement the Brief Strategic Family Therapy (BSFT) model of treatment, a structured approach to treating adolescents with risk factors for substance abuse.
The program has two goals: (1) to reduce substance abuse among AA/PI youth through family engagement and to strengthen family functioning, and (2) to address and reduce substance abuse risks and co-occurring problems among non-probation AA/PI youth. AODS has assembled a strong, cost-efficient, community-based service delivery collaborative to carry out this expanded program. AODS will be deploying resources from three systems—Substance Abuse, Mental Health, and Criminal Justice—to achieve these goals.
The prime subcontractor, AARS, is the county’s largest AA/PI treatment agency. This organization has delivered prevention and treatment services to AA/PI youth in northern San Mateo County for 10 years. WestEd, the proposed evaluation subcontractor, is one of the nation’s pre-eminent program development and evaluation firms in the area of youth services.
This grant is for a thirty six (36) month period beginning September 30, 2005 and ending September 29, 2008. Additional resources past this funded period have not yet been identified. AODS along with AARS and WestEd will pursue additional resources in an attempt to sustain services. Possible funding sources may include Local/State/Federal agencies and Foundations. If the State Block Grant Funds are increased, they may be utilized for treatment services that began under this grant. However, due to economic uncertainties, these efforts may not result in additional funding. If no additional resources are identified the program will cease on September 29, 2008.
The RFP waiver is being requested because AARS and WestEd collaborated with the Human Services Agency in writing the proposal that received this grant. Also, they are identified in the grant as partners. The Agreement was delayed due to the length of time needed in negotiating program and contract deliverables. The Agreement has been reviewed and approved as to form by the County Counsel’s Office. Risk Management has reviewed and approved the Contractors’ insurance coverage.
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FISCAL IMPACT:
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The thirty six (36) month grant and the Agreements with AARS and WestEd are for the term of September 30, 2005 to September 29, 2008. The Agreements are in the amount of $1,215,779 for AARS and $150,000 for WestEd, and are fully funded under this grant. Appropriations for future years will be included in the Budgets for Fiscal Years (FY) 2006-07, 2007-08 and 2008-09. The remainder of these funds will be used for services and supplies. There are sufficient Agency appropriations in the FY 2005-06 Adopted Budget to cover this unanticipated revenue and expenditures. There is no Net County Cost.
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