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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Measure K: Adopt a resolution authorizing an amendment to the agreement with HealthRIGHT360 for substance use disorder treatment services, medication assisted treatment services, outpatient mental health services, and outreach and engagement services, and extending the term of substance use disorder prevention services through June 30, 2021, increasing the amount of the agreement by $143,412 to an amount not to exceed $10,679,744.
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BACKGROUND:
On July 23, 2019, the Board approved an agreement with HealthRIGHT360 (HR360) to provide substance use disorder prevention services for the term July 1, 2019 through June 30, 2020, and substance use disorder 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, the Board approved the FY 2019-20 Adopted Budget. Previously, on June 25, 2019, the 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 (BHRS) community-based organizations that provide mental health services and substance abuse disorder services.
On December 3, 2019, the Board approved an amendment to the agreement to: 1) add the COLA to substance use disorder prevention and treatment services, mental health services, and outreach and engagement services; and 2) remove the Parent Project curriculum, increasing the amount by $543,261 to an amount not to exceed $10,536,333, with no change to the term of the agreement.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System waiver, HR360 provides substance use disorder treatment services to adults, youth, and families including: outpatient and residential treatment; 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.
BHRS contracts with various organizations that provide alcohol and other drug prevention services to the County. These contractors provided feedback regarding the challenges for successful completion of prevention activities. Upon review of the feedback, BHRS assessed additional reporting and evaluation requirements. The decision was made to include additional activities in reporting and evaluation. Contractors’ activities also changed due to variable community factors and new partnerships with different organizations. Through this amendment, prevention activities in FY 2019-20 have been adjusted and FY 2020-21 prevention activities have been added, extending the term through June 30, 2021.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that 58% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Estimated |
|
Percentage of clients who 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 $10,679,744. The amendment increases the contract amount by $143,412. The Substance Abuse Block Grant will fund 100% of the increase and is included in the BHRS FY 2020-21 Recommended Budget.