Performance Measures: | ||
Measure |
FY 2006-07 Actual |
FY 2007-08 Projected |
Percentage reduction of days of psychiatric hospitalization for program clients in comparison to total during 12 months prior to enrollment. |
84%* |
70% |
Percentage reduction of total days of incarceration for program clients in comparison to total during 12 months prior to enrollment. |
87%* |
85% |
* FY 2006-07 performance exceeded target, which is unchanged for FY 2007-08. | ||
BACKGROUND: | ||
Since 2001 Telecare has contracted with Mental Health Services to provide AB 2034 (Transitions) Program services for homeless mentally ill persons at the Department of Veterans Affairs in Palo Alto (VA). This program includes supported housing services and intensive case management services for mentally ill clients who are homeless or at risk of becoming homeless. In addition, the Transitions Program purchases interim housing resources for clients who do not reside at the VA. The Transitions Program serves 79 homeless mentally ill adults and transition age youth. An Agreement with the VA for the use of a building on their Willow Road campus to house this program was approved by your Board on June 6, 2006. Clients typically receive services on a long-term basis. Clients remain enrolled in the program during episodes of hospitalization or incarceration. | ||
In April 2007 Mental Health Services released a Request for Proposals for intensive case management services for adults who are seriously and persistently mentally ill (SMI), and AB 2034 services for SMI adults who are homeless or at risk of becoming homeless. Telecare submitted the only proposal for AB 2034 services, which was reviewed and accepted. | ||
DISCUSSION: | ||
The Agreement with Telecare is being renewed for FY 2007-08. The Transitions Program provides outreach to individuals who are on the streets, who arrive at Psychiatric Emergency Services, or who are in homeless shelters. This outreach is critical to the successful enrollment of homeless mentally ill persons, many of whom have been unwilling or reluctant to use more traditional mental health services. Juvenile Probation and Human Services may refer transition age youth to the program, including youth emancipating from foster care. Under this Agreement clients will receive pharmacy services through the Mental Health Services Pharmacy Benefits Management (PBM) provider. | ||
The FY 2007-08 State budget approved by Governor Schwarzenegger on August 24th eliminated AB 2034 funding for these services. There are discussions taking place with the State to address alternate funding for FY 2007-08 and a resolution is expected. To ensure the health and safety of clients currently enrolled in the program, in the event that there is no resolution from the State, Mental Health Services will continue to fund this program with Departmental Reserves in FY 2007-08. | ||
The Health Department has two other agreements with Telecare. One is for the provision of services at Cordilleras Mental Health Center. A second Agreement is for Full Service Partnership services for adult and older clients which is a component of the County Mental Health Services Act three-year plan. | ||
The Agreement has been reviewed and approved by County Counsel and Risk Management. The contractor has 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. The Agreement with Telecare for these services is on the Continuing Resolution. | ||
FISCAL IMPACT: | ||
The term of the Agreement is July 1, 2007 through June 30, 2008. The Agreement maximum is $1,319,706, which is included in the Mental Health Services tentatively Adopted FY 2007-08 Budget. Of that amount $914,400 will be funded by Departmental Reserves or other funds to be determined by the State. Mentally Ill Offender Crime Reduction grant funds will provide $100,000. State and Federal Medi-Cal and Medicare will fund $277,874. Net County Cost is $27,432, which represents the negotiated 3% COLA. The total Program cost is $1,473,256, which includes Supplemental Security Income payments from participants of $153,550. | ||
1. |
General Description of RFP |
Intensive case management services for 1) seriously and persistently mentally ill adults and 2) seriously and persistently mentally ill adults who are homeless (AB 2034 integrated services). |
2. |
List key evaluation criteria |
• History and Structure of Agency/Organizational capacity • Experience • Philosophy/Service Model • Staffing Patterns and Operations/Cultural Competency/Facilities • Quality/Program Evaluation • Implementation Plan/Timeline • Budget • References |
3. |
Where advertised |
San Francisco Examiner Mental Health Services website |
4. |
In addition to any advertisement, list others to whom RFP was sent |
See attached list of mailing labels. |
5. |
Total number sent to prospective proposers |
Fifty-five. |
6. |
Number of proposals received |
One. |
7. |
Who evaluated the proposals |
Chris Coppola, Deputy Director, Adult & Older Adult Services, Mental Health Services Kimberly Nobles, Mental Health Services Judy Schutzman, Mental Health Board |
8. |
In alphabetical order, names of proposers (or finalists, if applicable) and location |
Telecare Corporation, Alameda, CA |
