Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Subject: Agreement with Free at Last for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Free at Last for substance use disorder treatment services, for the term July 1, 2018 through June 30, 2019, in an amount not to exceed $1,717,945.
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BACKGROUND:
For over 20 years, Behavioral Health and Recovery Services (BHRS) has contracted with Free at Last (FAL) for substance use disorder treatment and recovery services, serving children, families, adults, and older adults. Services include outpatient and residential recovery services.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver, FAL will continue to provide expanded substance use disorder treatment services for children, families, adults and older adults, through outpatient and residential treatment programs. These programs include a recovery based support system; address legal and medical issues; teach basic life skills such as communication, anger management, and conflict resolution; re-unify families and build parenting skills; assist clients in job training and/or employment; and establish stable housing.
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 70 percent 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 |
70% 49 clients |
70% 49 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 $1,717,945. Of this amount, the Mental Health Services Act will fund $35,047, Federal Financial Participation for Drug Med-Cal $448,914, Substance Abuse and Prevention Treatment Block Grant will fund $246,630, and Medi-Cal Federal Financial Participation will fund $987,354. There is no is Net County Cost associated with this agreement. 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.