Performance Measures: | ||
Measure |
FY 2005-06 |
FY 2006-07 |
Number of children positively impacted through parent’s, caregiver’s or other household member’s behavioral changes |
N/A |
170 |
Quit Rate for program participants |
N/A |
25% |
BACKGROUND: |
The First 5 Commission (First 5) funds the Health Department’s Smoke-Free Start for Families (SFSF) Program to provide free tobacco cessation services to families with young children in San Mateo County. Participants receive services either over the phone or in group classes. Nicotine Replacement Therapy (NRT) is available to all participants at no charge. County staff process program referrals, coordinate group classes, manage program data, and coordinate reporting requirements for funders. SFSF’s annual budget is over $290,000, of which approximately $226,000 is contributed by First 5. This funding was slated to end on December 31, 2006, but was extended to June 30, 2007. On April 28, 2006, the County executed an Agreement with Breathe California: Golden Gate Public Health Partnership (Breathe) for the period of January 1, 2006 to June 30, 2007, in the amount of $42,725. The contract objectives are to purchase NRT, provide facilitators for tobacco cessation services, and offer technical assistance in the provision of cessation services to adults in the county. Breathe conducts the facilitator training based on the American Lung Association Freedom from Smoking (FFS) curriculum, which is the same curriculum used by the SFSF Program. |
DISCUSSION: |
In December 2006 First 5 increased SFSF’s budget by $89,374 and extended the grant to June 30, 2007. The Amended Agreement with Breathe provides some of these funds from First 5 to pilot a lower-cost intervention that has shown promise in other communities such as Sacramento and Santa Clara Counties. This intervention is a shorter version of the FFS curriculum but yields a similar quit rate, as seen in a Santa Clara County pilot. Breathe will adapt the curriculum to meet the needs of county residents. Additionally, Breathe will recruit at least two community-based organizations, train their staff on the new curriculum, and oversee the delivery of tobacco cessation classes. NRT would continue to be provided at no charge. Staff have been working on the Amendment since February after learning of the grant extension from First 5. During these contract negotiations, which took longer than anticipated, new services were added to the Agreement. For this reason and because Breathe is a sole source provider that will pilot a lower-cost intervention model, it was decided to request a waiver of the RFP process. County Counsel has reviewed and approved all documents as to form and content. |
FISCAL IMPACT: |
The accompanying ATR recognizes $89,374 in unanticipated revenue from First 5 for FY 2006-07. The Amendment with Breathe increases the original contract amount by $73,688, bringing the total to $116,413. The original Breathe contract amount accounts for $42,725, First 5 funding provides $51,693, and Tobacco Prevention Program Master Settlement Funds pay the balance of $21,995. The remaining unanticipated revenue from First 5, $37,681, will be used for additional tobacco cessation program activities within the Department. There is no change to the original Agreement term of January 1, 2006 to June 30, 2007 and no Net County Cost associated with this Amendment or with the ATR. |