Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Agreement with Service League of San Mateo County for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Service League of San Mateo County for substance use disorder treatment services, for the term July 1, 2018 through June 30, 2019, in an amount not to exceed $839,902.
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BACKGROUND:
For over 15 years, Hope House, a program of Service League of San Mateo County (Service League), has provided an intensive residential treatment program for women who have a substance use disorder (SUD). Service League serves adult women, pregnant women, and women with infants. Through its evidence-based gender specific groups, Service League is able to provide the most up-to-date information and techniques addressing addiction and other harmful behaviors. Service League works closely with the courts to address legal issues and reunite women with their children.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver, Service League shall continue to provide expanded residential substance use disorder treatment services for adult women, pregnant women, and women with infants. Services include safe and supportive transitional housing, case management, and additional services that were not available prior to the waiver.
In February 2017, your Board waived the Request for Proposals (RFP) process for substance use disorder treatment services for two years, to allow BHRS time to implement the DMC-ODS waiver-related changes to this and all other BHRS substance use related contracts. In late 2018, BHRS will release a RFP for substance use disorder treatment services to start on July 1, 2019.
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. The agreement is on the Continuing Resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing individuals and families with prevention and treatment services to support recovery, which in turn contributes to the health and safety of communities throughout the County. Successful treatment discharge occurs when a program participant completes his/her treatment/recovery plan or when a participant is transferred to the next appropriate level of care. It is anticipated that 95% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
Program participants with a successful treatment discharge |
95% 25 clients |
95% 25 clients |
|
|
|
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FISCAL IMPACT:
The term of the agreement is July 1, 2018 through June 30, 2019. The amount of the agreement is not to exceed $839,902. Of this amount, the Mental Health Services Act will fund $22,084, Federal Financial Participation for Drug Med-Cal $281,868, Substance Abuse and Prevention Treatment Block Grant will fund $216,145, CalWORKs will fund $13,580, 2011 Realignment will fund $33,822, and $272,403 is Net County Cost. Funds for these services are included in the BHRS FY 2018-19 Recommended Budget. The payment provisions and levels of service remain essentially the same as those of the prior agreement.