Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Measure K: Agreement with Edgewood Center for Children and Families for Full Service Partnership Services
RECOMMENDATION:
title
Measure K: Adopt a resolution authorizing an agreement with Edgewood Center for Children and Families for Full Service Partnership services, for the term July 1, 2017 through June 30, 2019, in an amount not to exceed $16,466,010.
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BACKGROUND:
The cornerstone of the County’s Mental Health Services Act Community Services and Supports plan is the delivery of Full Service Partnership (FSP) services for our highest risk consumers with serious mental illness. FSP programs are designed to allow consumers to remain living in the community and decrease their hospitalizations and/or incarcerations by providing case management, medication management, therapy, social activities, and 24/7 response capability to mitigate an evolving situation.
In March 2014, Behavioral Health and Recovery Services (BHRS) conducted a Request for Proposal for children, youth, and transition age youth (TAY) Full Service Partnership (FSP) services, with the option to renew for an additional 2 years. Edgewood Center for Children and Families (Edgewood) submitted a proposal and was selected to provide these services beginning July 1, 2014.
DISCUSSION:
Edgewood will provide comprehensive FSP services, with separate FSP programs for children, youth and TAY. Edgewood’s services are for severely emotionally disturbed clients who are either returning from out-of-home placements or are at risk for out-of-home placements. These services enable clients to maintain placements in their respective communities. While Edgewood’s services are open to all at-risk clients, they are specifically targeted to clients from underserved Asian/Pacific Islander, Latino, and African American populations.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is coming to your Board late due to prolonged contract negotiations with the provider and is on the Continuing Resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing FSP services for children, youth and TAY. BHRS provides a range of services to promote wellness and recovery, and to support consumers remaining in the lowest possible level of care. FSP services for children, youth and TAY is one established level of care. It is anticipated that annual hospitalization days for FSP enrollees through this agreement will be reduced by 63%.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Annual reduction in total days of hospitalization for FSP enrollees |
N/A* |
63% 135 Days |
|
|
|
|
*BHRS contracts with American Institutes for Research (AIR) to evaluate effectiveness of FSPs. AIR’s results for FY 2016-17 will not be available until January 2018.
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2019. The amount of the agreement is not to exceed $16,466,010. For FY 2017-18, the amount not to exceed is $8,233,005 and is funded as follows: $6,151,275 will be funded by the Mental Health Services Act, $843,941 will be funded by Federal Financial Participation, $1,100,000 will be funded by SB163 funds provided through HSA, $61,859 will be funded by Healthy Kids, $54,106 will be funded by Measure K, and $21,824 will be funded by private insurance. Funds for these services have been included in the BHRS FY 2017-18 Adopted Budget. Similar arrangements will be put in place for FY 2018-19. The payment provisions and levels of service in this contract are essentially the same as the prior contract.