COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

November 26, 2007

BOARD MEETING DATE:

December 4, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health

Gale Bataille, Director, Behavioral Health & Recovery Services

SUBJECT:

Fee For Service Agreements with 12 Providers of Alcohol and Drug Treatment and Recovery Services

RECOMMENDATION:

Adopt a Resolution:

A) Authorizing the President of the Board to execute Fee For Service Agreements with 12 Providers: 1) Asian American Recovery Services, 2) BAART Behavioral Health Services, Inc., (BBHS); 3) Our Common Ground, Inc. (OCG), 4) El Centro de Libertad, 5) Free at Last, 6) Project Ninety, Inc., 7) Pyramid Alternatives, 8) Service League of San Mateo County, 9) Sitike Counseling Center, 10) The Latino Commission, 11) Women’s Recovery Association, and 12) Youth and Family Enrichment Services, for the provision of Alcohol and Drug Treatment and Recovery Services for the term January 1, 2008 through June 30, 2009, for a combined maximum obligation of $4,159,449; and

B) Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's respective maximum fiscal obligation for each Agreement by no more than $25,000 (in aggregate) and/or modify the respective contract term(s) and/or services so long as the modified term(s) or services is/are within the current or revised fiscal provisions.

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.

These Agreements contribute to this commitment and goal by providing individuals and families in San Mateo County with intervention and treatment services to support their recovery, which in turn contributes to the health and safety of communities in San Mateo County.

Performance Measure:

Measure

FY 2006-07 Actual

FY 2007-08 Projected

Percentage of clients who successfully complete alcohol and drug treatment services

60%*

65%

*Exceeded target of 55%.

BACKGROUND:

In November 2006 your Board approved the Alcohol and Other Drug (AOD) Strategic Plan, Strategic Directions 2010. In implementation of the treatment strategies and services outlined in the plan, a Request For Proposal (RFP) process was initiated in April 2007 to select providers of AOD treatment services. Based on the recommendations of the RFP review committee the 12 aforementioned providers were selected to provide these services.

DISCUSSION:

These 18-month Agreements will provide a continuum of alcohol and drug treatment and recovery services to youth and adults identified as priority populations in the Strategic Directions 2010. The programs and funding sources include: Substance Abuse Crime Prevention Act (SACPA)/SACPA Offender Treatment Program (OTP)/Proposition 36; SB223 Drug Testing services; Drug Court Partnership Grant (DCP); Comprehensive Drug Court Implementation Grant (CDCI); Ryan White Care Act; Negotiated Net Amount (NNA); Drug Medi-Cal; and CalWORKS. The services to be provided will include outpatient, residential, and non-residential day treatment and recovery services, methadone detoxification and methadone maintenance services. The maximum obligation for each of these Agreements includes the full amount for each of the funding sources for the services to be provided. Therefore, total collective amount of these agreements is greater than the total available funding. The volume and cost of services provided by these contractors will be managed collectively within the individual contract maximums and will not exceed the available funding.

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 Agreements have been reviewed and approved by County Counsel and Risk Management.

FISCAL IMPACT:

The term for these Agreements is January 1, 2008 through June 30, 2009. The combined aggregate funding of $4,159,449 is provided through the following sources.

Services and Funding Sources

FY 2007-08

FY 2008-09

SACPA

$602,956

$1,232,579

Net County Cost for SACPA

$53,027

$0

SB223 – Negotiated Net Agreement

$80,303

$160,607

Drug Court Partnership Grant (DCP) – State Drug Court

$44,968

$89,935

Comprehensive State Drug Court Implementation Grant (CDCI)

$154,631

$219,645

Ryan White Care Act – Federal Grant

$47,721

$95,442

Negotiated Net Amount (NNA) Agreement

$175,654

$400,000

Net County Cost NNA – Adolescent Residential Treament

$24,346

$0

Drug Medi-Cal – Negotiated Net Agreement

$127,500

$255,000

CalWORKS – Single Allocation

$131,711

$263,424

Total Funding

$1,442,817

$2,716,632

These amounts are included in the FY 2007-08 AOD Adopted Budget and the FY 2008-09 AOD Recommended Budget. The Net County Cost for FY 2007-08 is $77,373. Of that amount, $53,027 is the County match requirement to obtain SACPA OTP funds and $24,346 is an increase in Adolescent Residential Treatment as part of the 2010 Strategic Plan implementation.

General Description of RFP

The purpose of this RFP is to solicit proposals for Alcohol and Other Drug Treatment and Recovery Services designated to enhance and, in some cases, initiate service components that will provide a comprehensive continuum of care and support for those priority populations identified in the Strategic Directions 2010 Strategic Plan for the County’s Alcohol and Other Drug Services.

2. List of key evaluation criteria

History and Structure of the Applicant

Experience in serving the priority population(s).

a. Capability and experience of key personnel.

b. History of successfully managing contracts with public and/or private agencies.

c. Expertise in serving specialized populations, i.e. ethnic/linguistic, co-occurring or other.

Philosophy/Service Model

a. There is a clear articulated understanding of and commitment to the intent of the services including a purpose, scope, population to be served and major design elements.

b. The applicant addresses treatment approaches resulting in consumer retention and successful completion rates, post treatment sobriety/recovery; employment; housing and legal issues.

c. Experience and commitment in implementing treatment processes involving the consumer as an active participant treatment and recovery planning.

d. There is a commitment to policies and practices that ensures the use of evidence-based practices and health and safety of consumers and staff.

e. Demonstrated ability of collaborative partnerships in the coordination and continuity of consumer centered services.

Quality Improvement

a. There is a Quality Improvement Plan that includes improving services to improve consumer satisfaction and outcomes, and increase agency efficiency.

b. There are examples of improvements or progress as part of Quality Improvement process.

Staffing Patterns and Cultural Competency

a. There is sufficient staffing to provide the proposed services.

b. The staff has appropriate and sufficient education, experience, licensure and certification to effectively deliver services.

c. There is sufficient training and supervision to provide services.

d. The agency has the competency and capability to respond to cultural and linguistically diverse populations.

Budget

a. There are sufficient revenues to meet expenses.

b. There are efforts and proposed strategies to attain a diversified revenue portfolio.

3. Where was it advertised?

Alert sent by fax, posted on county website and announced at community meetings.

4. In addition to any advertisement, list others to whom RFP was sent

Non-contracted San Mateo County Treatment Providers;

Prevention providers;

Locale probation and parole departments;

California Department of Alcohol and Drug Programs;

Nine surrounding county Alcohol and Drug Administrators;

102 Change agents from the SMC co-occurring initiative comprised of SMC employees and SMC Community based partners.

5. Total number sent to prospective applicants

64

6. Number of applications received

12

7. Who evaluated the proposals?

Representatives from Santa Clara County Department of Alcohol and Drugs;

A Representative from Correctional Health;

Representatives from Mental Health;

Manager of Shelter and Substance Abuse Services;

A Representative from Probation;

A Representative from Human Service Agency;

A Representative from the College of San Mateo;

A Representative from the youth commission ;

Consumers of mental health and substance abuse services; and

A Representative from Fair Oaks Community Center

8. In alphabetical order, names of applicants (or finalists, if applicable) and location

1) Asian American Recovery Services, Daly City, CA.

2) BAART Behavioral Health Services, Inc., (BBHS).

3) Our Common Ground, Inc., East Palo Alto and Redwood City, CA.

4) El Centro de Libertad, Redwood City, CA.

5) Free at Last, East Palo Alto, CA.

6) Latino Commission, South San Francisco, CA.

7) Project Ninety, San Mateo, CA.

8) Pyramid Alternatives, Half-Moon Bay, CA.

9) Service League, Redwood City, CA.

10) Sitike Counseling Center, South San Francisco, CA.

11) Women’s Recovery Association, Burlingame, CA.

12) Youth and Family Enrichment Services, South San Francisco, Redwood City, San Carlos, CA.