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: Measure K: Amendment to the Agreement with healthRIGHT360 for Substance Use Disorder Prevention and Treatment Services, Mental Health Services, and Outreach and Engagement Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with healthRIGHT360 for substance use disorder prevention and treatment services, medication assisted treatment services, outpatient mental health services, and outreach and engagement services, increasing the amount of the agreement by $543,261 to an amount not to exceed $10,536,333, with no change to the term of the agreement.
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BACKGROUND:
On July 23, 2019, your Board approved an agreement with healthRIGHT 360 (HR360) to provide substance use disorder prevention and treatment services, medication assisted treatment services, outpatient mental health services, and outreach and engagement services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $9,993,072.
On September 24, 2019, your Board approved the FY 2019-20 Adopted Budget. Previously, on June 25, 2019, your Board received the FY 2020-21 Preliminary Recommended Budget. These budgets included a 4% Cost of Living Adjustment (COLA) for Behavioral Health and Recovery Services community-based organizations that provide mental health services and substance abuse disorder services.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System waiver, HR360 provides substance use disorder treatment services to adults, youth, and families including: outpatient, residential treatment and medication assisted treatment, sober living environments, and case management services. HR360 also provides outpatient mental health services through the Mental Health Plan. In addition, HR360 serves as the fiscal and lead agency for the North County Outreach and Collaborative by providing culturally appropriate outreach, psycho-education, screening, referral and warm hand-off services. Lastly, HR360 serves as the fiscal and lead agency for the North County Prevention Partnership by providing substance use prevention services in Daly City and Pacifica.
It is now necessary to amend the agreement with HR360 to: 1) remove the Parent Project curriculum in FY 2019-20 and FY 2020-21; and 2) add the COLA to FY 2019-20 and FY 2020-21, with no change to the term of the agreement.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
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 58% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients that achieve a successful treatment discharge |
58% 216 clients |
58% 216 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the amended agreement is not to exceed $10,536,333. The amendment increases the contract amount by $543,261. Of this amount, $179,121 is included in the BHRS FY 2019-20 Adopted Budget and funded as follows: 2011 Realignment will fund $33,758, AB109 will fund $9,528, the Mental Health Services Act will fund $8,400, and Net County Cost will fund $137,435. Due to the removal of the Parent Project curriculum, Measure K funding is reduced by $10,000.