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 The Latino Commission for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with The Latino Commission for substance use disorder treatment services for the term July 1, 2019 through June 30, 2021, 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 $2,230,111.
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BACKGROUND:
On June 25, 2019, the Board approved an agreement with The Latino Commission (TLC) for substance use disorder treatment services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $2,077,450.
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 January 28, 2020, the Board approved an amendment to the agreement adding the COLA to FY 2019-20 and FY 2020-21, increasing the amount by $122,661 to an amount not to exceed $2,200,111, with no change to the agreement term.
DISCUSSION:
Under the Drug Medi-Cal Organized Delivery System waiver, TLC continues to provide expanded outpatient and residential substance use disorder treatment services for men, women, and young mothers with children. Services include: assessment, recovery or treatment planning, psycho-education, process and support groups, individual counseling, case management, and financial coaching.
On September 4, 2019, BHRS released a Request for Proposals for Trauma-Informed Co-Occurring Prevention Services for Youth, previously known as Seeking Safety. TLC was one of four providers selected to provide these services to begin July 1, 2020. Services will target Coastside Latino youth and transition age youth ages 15-25 from bicultural, bilingual Spanish speaking families with a history of trauma, poverty, and disparity who are lacking current health education, prevention awareness, access to services, and knowledge of how to access services.
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.
Successful treatment discharge occurs when a program participant completes their treatment/recovery plan or when a participant is transferred to the next appropriate level of care. It is anticipated that 60% of program participants will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of program participants who achieve a successful treatment discharge |
60% 80 participants |
60% 80 participants |
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 $2,230,111. The amendment increases the contract maximum by $30,000 and is included in the BHRS FY 2020-21 Recommended Budget. It is anticipated that 100% or $30,000 will be funded by the Mental Health Services Act.