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:

Flat Rate Agreements with 11 Providers of Alcohol and Drug Treatment and Recovery Services

RECOMMENDATION:

Adopt a Resolution:

A) Authorizing the President of the Board to execute Flat Rate Agreements with: 1) Asian American Recovery Services, Inc. ($576,399); 2) Our Common Ground, Inc. ($704,190); 3) El Centro de Libertad ($704,609); 4) Free At Last ($878,106); 5)  Project Ninety, Inc. ($1,624,578); 6) Pyramid Alternatives ($579,426); 7) Service League of San Mateo County ($587,829); 8) Sitike Counseling Center ($472,632); 9) The Latino Commission ($815,108); 10) Youth and Family Enrichment Services ($1,248,026); and 11) Women’s Recovery Association ($1,756,577) for Alcohol and Drug Treatment and Recovery Services for the term January 1, 2008 through June 30, 2009, for a maximum obligation of $9,947,480; 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 contribute to the health and safety of the 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 of 2006 your Board approved the Alcohol and Other Drug (AOD) Strategic Plan, Strategic Directions 2010. As part of the implementation of the treatment strategies and services outlined in the plan, a Request For Proposal (RFP) process was initiated in April of 2007 to select providers of treatment services. Based on the recommendations of the proposal review committee for that RFP the following 11 providers were selected to provide treatment services: Asian American Recovery Services, Inc.; Daytop Village, Inc.; El Centro de Libertad; Free At Last; Project Ninety, Inc.; Pyramid Alternatives; Service League of San Mateo County; Sitike Counseling Center; The Latino Commission; Youth and Family Enrichment Services; and Women’s Recovery Association.

DISCUSSION:

The Agreements with these contractors 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 through flat rate agreements. Services will include non-residential and residential treatment, aftercare services, intensive day treatment services, perinatal, and treatment readiness services.

These 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 maximum obligation for these Agreements is $9,947,480. The maximum obligation for FY 2007-08 is $3,301,544, which is included in the AOD FY 2007-08 Adopted Budget. Of that amount $2,632,174 will be funded through the State Net Negotiated Agreement Fund and the Net County Cost is $669,370. The maximum obligation for FY 2008-09 is $6,645,936, which is included in the AOD FY 2008-09 Recommended Budget. Of that amount $5,307,198 will be funded through the State Net Negotiated Agreement Fund and the Net County Cost is $1,338,738. The total Net County Cost for the term of the Agreement is $2,008,108.

1. 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 the County’s Alcohol and Other Drug Strategic Plan.

2. List of key evaluation criteria

History and Structure of the Applicant

a. Experience in serving the priority population(s)

b. Capability and experience of key personnel.

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

d. 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 / 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 the County’s 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;

Local 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

11

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

3) El Centro de Libertad, Redwood City, CA;

4) Free at Last, East Palo Alto, CA;

5) Latino Commission, South San Francisco, CA;

6) Project Ninety, San Mateo, CA;

7) Pyramid Alternatives, Half-Moon Bay, CA;

8) Service League, Redwood City, CA;

9) Sitike Counseling Center, South San Francisco, CA;

10) Women’s Recovery Association, Burlingame, CA; and

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