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 StarVista for Mental Health Services and Substance Use Disorder Treatment Services
RECOMMENDATION:
title
Measure K: Adopt a resolution authorizing an amendment to the agreement with StarVista for the Early Childhood Community Team, the Health Ambassador Program for Youth, and Trauma-Informed Co-Occurring Prevention for Youth, extending the term through June 30, 2021 and increasing the amount by $1,517,740 to an amount not to exceed $10,418,481.
body
BACKGROUND:
On October 8, 2019, the Board approved an agreement with StarVista for mental health services and substance use disorder treatment services, for the term of July 1, 2019 through June 30, 2021, in an amount not to exceed $8,821,793.
On May 5, 2020, the Board approved an amendment to the agreement with StarVista adding youth and adult Mental Health First Aid, for the term January 1, 2020 through June 30, 2021, increasing the amount by $78,948 to an amount not to exceed $8,900,741. Mental Health First Aid is a highly interactive public education program that teaches attendees how to help individuals experiencing mental illness and/or substance use challenges to connect to an appropriate level of care.
DISCUSSION:
StarVista currently provides: (1) mental health services offered through the Mental Health Plan; (2) Early Childhood Community Team (ECCT) services to young children; (3) staffing of the Co-Chair of the Diversity and Equity Council; (4) Mindfulness-Based Substance Abuse Treatment; (5) texting and social media support through its Crisis Hotline; and (6) recruitment of youth ages 16-24 years that have experienced mental health and substance use challenges to participate in the Health Ambassador Program for Youth (HAP-Y) training and community outreach. Additionally, through the Lesbian Gay Bisexual Transgender Queer (LGBTQ) Center, StarVista continues to address the complex and various needs of LGBTQ persons at high risk for serious mental illness and/or serious emotional disability by providing counseling and crisis intervention, case management, peer support services, and substance use services. Lastly, through the Drug Medi-Cal Organized Delivery System waiver, StarVista provides expanded substance use disorder treatment services for children, youth, families, adults, and older adults.
On September 4, 2019, Behavioral Health and Recovery Services (BHRS) released a Request for Proposals (RFP) for Trauma Informed Co-occurring Interventions for Youth. StarVista responded to the RFP and was one of four providers selected to provide these services.
It is now necessary to amend this agreement for the following: (1) extending current ECCT and HAP-Y services to a new end date of June 30, 2021; and (2) adding services for Trauma-Informed Co-occurring Interventions for Youth, which utilizes prevention and early intervention evidence-based curriculum for youth.
BHRS is requesting that the Board waive the RFP process for the ECCT due to COVID-19 and providers having limited access to the technology needed to apply. BHRS will release this RFP as soon as possible in FY 2020-21.
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.
It is anticipated that 99% of clients will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of clients that are maintained at a current or lower level of care |
99% 1,462 clients |
99% 1,462 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2019 through June 30, 2021. The amount of the amended agreement is not to exceed $10,418,481. The amendment increases the contract maximum by $1,517,740 and is included in the BHRS FY 2020-21 Recommended Budget. Of the increase, the Mental Health Services Act will fund $782,468, Measure K will fund $721,200 and 1991 Realignment will fund $14,072.