COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Human Services Agency

DATE:

May 24, 2007

BOARD MEETING DATE:

June 5, 2007

SPECIAL NOTICE/HEARING

None

VOTE REQUIRED

Majority

TO:

Honorable Board of Supervisors

FROM:

Beverly Beasley Johnson, J.D., Director, Human Services Agency

Stephen Kaplan, Director, Substance Abuse and Shelter Services

SUBJECT:

Approve an Amendment to the Agreements with 15 providers for the FY 2006-07 Flat Rate Agreement for Alcohol and Drug Treatment and Prevention Services NNA

Recommendation

Adopt a resolution authorizing an Amendment to the Agreements with fifteen providers:

1) Asian American Recovery Services, Inc.; 2) Bay Area Community Resources; 3) Daytop Village, Inc.; 4) El Centro de Libertad; 5) Free At Last; 6) Horizon Services, Inc.; 7) Project Ninety, Inc.; 8) Pyramid Alternatives; 9) Service League of San Mateo County; 10) Sitike Counseling Center; 11) The Latino Commission; 12) The Legacy Foundation; 13) Youth and Family Enrichment Services; 14) Women’s Recovery Association; and 15) Youth Leadership Institute, for the FY 2006-07 Net Negotiated Amount Flat Rate Agreement for Alcohol and Drug Treatment and Prevention Services, and extending the term by six months from 6/30/2007 to 12/31/2007, except NNA Prevention services by El Centro de Libertad, which shall sunset on 6/30/2008, increasing the amounts respectively by 1) $204,733, to $602,273; 2) $44,133, to $129,829 3) $214,980, to $632,418; 4) $201,860, to $593,822; 5) $265,420, to $780,797; 6) $299, 236, to $880,277; 7) $483,526, to $1,422,412; 8) $133,117, to $391,597;

9) $117,943, to $346,958; 10) $128,169, to $377,040; 11) $225,078 to $662,123; 12) $43,169, to $126,992; 13) $500,950, to $1,473,668; 14) $385,699, to $1,134,628; and 15) $43,582, to $128,207, for a total increase of $3,291,595 and a total obligation of $9,683,041.

Vision Alignment

Commitment: Ensure basic health and safety for all.

Goal 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.

Performance Measures Summary Table

FY 05-06

Actual

FY 06-07 Target

FY 07-08 Target

Number of clients entering treatment (all modalities except methadone services)

- Number of times clients enter treatment

- Unduplicated individuals served

3,904

3,130

3,900

3,000

3,900

3,000

Is Anyone Better Off? (Outcome)

Percent of clients who successfully complete alcohol and drug treatment services*

58%

55%

55%

*This is a revised measure from previous years. Previous language was: percent of clients receiving alcohol and drug treatment services with a successful treatment outcome.

Background

On August 1, 2006, the Board of Supervisors, under Resolution No. 068187, approved the Flat Rate Agreements, which included twelve of the aforementioned fifteen providers. In addition, three more providers have been incorporated to the list due to the dollar level of approval. Namely these three (3) providers are: 1) Bay Area Community Resources; 2) The Legacy Foundation; and 3) Youth Leadership Institute, making it a total of fifteen providers.

Funding for these contracts included the State Negotiated Net Amount (NNA), Drug/Medi-Cal, State CalWORKs and State Aid Public Safety, for the provisions of Residential Treatment, Intensive Day Treatment, Nonresidential Treatment, Treatment Readiness, Perinatal and Prevention Services.

Discussion

These Amendments fund services under the combined NNA and DMC State Contract to continue through the first half of FY 2007-08 (12/31/2007), except NNA Prevention services by El Centro de Libertad, which shall sunset on 6/30/2008, and are needed to align current prevention and treatment services funded by the County of San Mateo with the Strategic Directions 2010 plan and to initiate a quality performance improvement process. These contracts will emphasize a developmental approach to making changes required under the 2010 Strategic Directions, AOD Plan.

The Contractors have assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits. These Amendments have been reviewed and approved as to form by the County Counsel’s office and Risk Management has approved the Contractors’ Insurance coverage.

Fiscal Impact

The term of these Amendments is extended by six months and the new term is July 1, 2006 through December 31, 2007, except NNA Prevention services by El Centro de Libertad, which shall sunset on 6/30/2008, and funding is provided from the State Negotiated Net Amount (NNA), Drug Medi-Cal, State CalWORKs and State Aid Public Safety. The total Appropriation for these Agreements is $9,683,041. There is no Net County Cost. Funding for these Agreements in the amount of $3,291,595 has been included in the FY 2007-08 Recommended Budget.