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 Puente de la Costa Sur for Project SUCCESS Services, Mindfulness-Based Substance Abuse Treatment, and Trauma-Informed Co-Occurring Prevention Services for Youth
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Puente de la Costa Sur for Project SUCCESS services for the term July 1, 2019 through June 30, 2021, Mindfulness-Based Substance Abuse Treatment for the term July 1, 2019 through June 30, 2020, and Trauma-Informed Co-Occurring Prevention Services for Youth for the term July 1, 2020 through June 30, 2021, increasing the amount by $30,000 to an amount not to exceed $651,635.
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BACKGROUND:
On September 17, 2019, the Board approved an agreement with Puente de la Costa Sur (Puente), for Project SUCCESS services for the term July 1, 2019 through June 30, 2021 and Mindfulness-Based Substance Abuse Treatment (MBSAT) services for the term July 1, 2019 through December 31, 2019, in the amount of $610,709.
On December 10, 2019, the Chief of San Mateo County Health approved an amendment extending the MBSAT services through June 30, 2020, increasing the maximum amount by $10,927 to a new maximum of $621,635, with no change to the agreement term.
DISCUSSION:
Through the Project SUCCESS service model, Puente prevents and reduces substance use and abuse, along with associated behavioral health issues among high risk, multi-problem youth ages 9 to 18. The early intervention services operate in communities with a high proportion of underserved populations, focusing on middle school and high school aged students.
The Seeking Safety curriculum ended June 30, 2019 and was replaced by an alternative curriculum currently under pilot MBSAT with a focus on trauma-informed co-occurring prevention. The MBSAT curriculum integrates best practices from the fields of mindfulness, psychotherapy, and substance use reliance treatment in adolescents. Puente currently provides MBSAT services under the pilot program due to expire June 30, 2020.
On September 4, 2019, Behavioral Health and Recovery Services (BHRS) released a Request for Proposals for Trauma-Informed Co-Occurring Prevention Services for Youth, previously known as MBSAT. Puente was one of four providers selected to provide these services to begin July 1, 2020. Services provided will target youth and transitional age youth ages 15-25 who are at the greatest risk for adverse childhood experiences (ACE). Statistics have shown that nearly 50% of American children have experienced at least one ACE, with children of color and children who grow up in poverty showing the greatest risk for ACEs. In San Mateo County it is estimated that 63% of the children are more likely to live in high poverty areas.
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 75% of clients who receive services through this agreement will show an increase in coping skills after participating in Project SUCCESS.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Clients showing an increase in coping skills after participating in Project SUCCESS |
75% 38 of 50 clients |
75% 38 of 50 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 $651,635. The amendment increases the contract maximum by $30,000 and will be included in the FY 2020-21 Recommended Budget. It is anticipated that 100% or $30,000 will be funded by the Mental Health Services Act.