Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Stephen Kaplan, Director, Behavioral Health & Recovery Services
Subject: Measure K: Amendment to the Agreement with TALK: Teaching & Assessing Language for Kids for Alternative Therapy Services
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing an amendment to the agreement with TALK: Teaching & Assessing Language for Kids for alternative therapy services, increasing the amount by $316,500 to $416,500, and extending the term of the agreement through June 30, 2018.
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BACKGROUND:
On June 16, 2016, the Chief of the Health System approved an agreement with TALK: Teaching & Assessing Language for Kids (TALK) to provide alternative therapy services to children with speech, voice, social and developmental disorders.
DISCUSSION:
It is now necessary to amend this agreement due to the success Behavioral Health & Recovery Services (BHRS) clinical staff are seeing in the children referred for these services. Through this amendment, TALK will continue to provide intensive, individualized speech and language assessment, and treatment and consultation services, to children. Services are unique to the specific need and developmental level of each child, support the healthy development of speech and language, and address a range of sensorimotor and self-regulation issues that these children often struggle with. Functional, measurable goals developed for each client target improvement of communication and self-regulation resulting in a reduction of emotional outbursts, anxiety and depression. These critical services are not typically covered by insurance, and not affordable to BHRS clients.
Under the B-1 Administrative Memorandum, agreements that provide “sole source” services are exempt from the Request for Proposals (RFP) process. TALK has developed both a unique and specialized model for this type and intensity of service, which no other organization currently provides.
The contractor is requesting to waive the Jury Duty requirement, as it is a financial hardship.
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. The amendment is 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 alternative therapy services identified in the Individualized Treatment Plan. The goals of the Individualized Treatment Plan are reviewed and updated bi-monthly based on the progress of the child and continued developmental needs identified by the contractor. It is anticipated that 95% of the clients will show improvement in at least three goals identified in their Individualized Treatment Plan.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of clients that will show improvement in a minimum of three goals identified in their Individualized Treatment Plan |
N/A * |
95% 15-20 clients |
|
|
|
|
* This is a new Performance Measure, data will be available in FY 2017-18.
FISCAL IMPACT:
The term of the agreement is July 1, 2016 through June 30, 2018. The amount of the amended agreement is not to exceed $416,500. The amendment increases the contract amount by $316,500. Of this amount, $66,500 was included in the BHRS FY 2016-17 Final Budget and was funded by the 2011 Realignment, and $250,000 is included in the BHRS FY 2017-18 Approved Recommended Budget and will be funded by Measure K.