Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Resource Development Associates for Evaluation and Technical Assistance Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Resources Development Associates (RDA) for evaluation and technical assistance services, extending the term of the agreement through June 30, 2022, and increasing the amount by $290,000 to an amount not to exceed $510,860.
body
BACKGROUND:
On September 22, 2016, RDA was contracted to provide evaluation and assessment services, as well as technical assistance, to Mental Health Services Act (MHSA) Innovation (INN) Component pilot programs, in the amount of $100,000, for the term September 22, 2016 through June 30, 2018. Three MHSA INN projects were approved by the State Mental Health Services Oversight Accountability Commission (MHSOAC) totaling over $3.2 million for three years. The projects funded were: 1) the San Mateo County Pride Center, a coordinated service approach to providing behavioral health services to the LGBTQ+ community; 2) the Neurosequential Model of Therapeutics (NMT) within the adult system of care, a clinical model of treatment that provides a holistic approach integrated with multiple forms of alternative targeted therapies; and 3) the Health Ambassador Program for Youth (HAP-Y), a youth-led initiative where young adults act as mental health ambassadors to promote awareness of behavioral health, reduce stigma, and increase service access for young people and their communities. MHSA INN regulations require counties to evaluate the effectiveness of the projects. RDA is evaluating these three programs for positive behavioral health outcomes of participants, to determine if the primary purpose of each project was met, and if the impact of each project element is innovative.
On May 22, 2018, your Board approved an amendment to the agreement with RDA to extend the term through June 30, 2019, increasing the amount by $95,860 to an amount not to exceed $195,860.
On May 2, 2019, the Chief of San Mateo County Health approved a second amendment to the agreement with RDA to allow for completion of the evaluation services and extended the term through December 31, 2019, increasing the amount by $25,000 to an amount not to exceed $220,860.
On February 28, 2019, Behavioral Health and Recovery Services (BHRS) released a Request for Proposals (RFP) for Evaluation and Technical Assistance Services. RDA responded and was selected to continue providing evaluation services for MHSA Innovation projects.
Recently, the Innovation projects were approved by the State MHSOAC to extend the implementation term through June 30, 2021.
DISCUSSION:
On September 27, 2018, BHRS was approved by the State MHSOAC for a fourth MHSA Innovation project: Technology Suite Collaborative, a statewide collaborative piloting a set of behavioral health applications that include core features such as peer chat groups, one-on-one online peer support, personalized avatar support including evidence-based wellness activities.
Comprehensive evaluation of MHSA Innovation projects is a condition of the funding to determine the effectiveness and feasibility of each project. The evaluation reports on behavioral health outcomes of program participants determine if each project met its primary purpose as defined by MHSA regulations. RDA has been evaluating the MHSA Innovation projects and was originally selected through a three-quote solicitation process.
BHRS is requesting to amend the agreement with RDA, increasing the maximum by $290,000 to an amount not to exceed $510,860 and extend the term of the agreement to June 30, 2022 for the following reasons: 1) to continue the current evaluation and technical assistance work on existing MHSA Innovation projects; 2) to provide support, technical assistance and evaluation of the new Technology Suite Collaborative; and 3) to run a comprehensive evaluation of all MHSA Innovation projects to determine outcomes as required as a condition of funding.
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 amendment and resolution have been reviewed and approved by County Counsel as to form.
Approval of this amendment 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. It is anticipated that 100% of the MHSA evaluation, reporting and planning requirements will be completed by RDA.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of the MHSA evaluation, reporting and planning requirements that will be completed by RDA |
100% 7 items |
100% 7 items |
FISCAL IMPACT:
The term of the amended agreement is September 15, 2016 through June 30, 2022. The amount of the contract is not to exceed $510,860. This amendment increases the contract amount by $290,000. Of the increase, $111,060 is included in the BHRS FY 2019-2020 Approved Recommended Budget, $116,000 will be included in the BHRS FY 2020-2021 and $62,940 will be included in the FY 2021-2022 Recommended Budget. One hundred percent of the increase will be funded by MHSA.