Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health & Recovery Services
Subject: Agreement with Caminar, Inc. for Full Service Partnership Services and Housing Support Program Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Caminar, Inc. for Full Service Partnership and Housing Support Program services for the term July 1, 2017 through June 30, 2019, in the amount not to exceed $5,457,801.
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BACKGROUND:
The cornerstone of the County’s Mental Health Services Act (MHSA) Community Services and Supports (CSS) 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 crisis situation.
In January 2014 Behavioral Health and Recovery Services (BHRS) conducted a Request For Proposals process to select providers of both ongoing (comprehensive) and integrated FSP services, with the option to renew for an additional 2 years. Caminar, Inc. (Caminar) submitted a proposal and was selected to provide these services beginning July 1, 2014.
In February 2016, BHRS conducted a Request For Proposals process to select providers for Assisted Outpatient Treatment Full Service Partnership (AOT FSP) to comply with AB 1421 (aka “Laura’s Law”), for services to begin July 1, 2016. Caminar submitted a proposal and was selected to provide these services.
DISCUSSION:
Caminar provides 30 consumer slots for comprehensive FSP and Housing Support Program services. FSP enrollees have services available 24 hours a day, seven days a week. Housing Support services are provided to FSP enrollees to assist them in achieving independence, stability and wellness. Caminar seeks to incorporate persons who have their own experiences in facing the challenges of mental illness and/or alcohol and other drug addiction as program staff. Through the AOT FSP, Caminar serves a target population of adults with serious mental illnesses that are unable to survive safely in the community without supervision, have a history of unsuccessful treatment experiences, and are deteriorating.
The Resolution contains the County’s standard provisions allowing amendments 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 mental health services to adults and older adults. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. It is anticipated that annual hospitalization days for clients who receive FSP services will be reduced by 76%.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Annual reduction in total days of hospitalization for FSP enrollees |
N/A* |
76% |
|
|
|
|
*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 $5,457,801. For FY 2017-18, the amount not to exceed is $2,789,744 and is funded as follows: Federal Medi-Cal $229,313; Medicare $10,154; MHSA $724,756; 1991 Realignment $62,443; and Net County Cost of $1,763,078. The payment provisions and levels of service in this contract are essentially the same as the prior contract. 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.