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 California Mental Health Services Authority for the Third Sector Multi-County Full-Service Partnership Project
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with California Mental Health Services Authority for the Third Sector Multi-County Full-Service Partnership project, increasing the amount by $250,700 to an amount not to exceed $1,000,700.
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BACKGROUND:
In 2004, California voters passed Proposition 63, known as the Mental Health Services
Act (MHSA), which created additional State funds to expand mental health services. Since 2006, MHSA resources and expenditures have been approved by your Board as part of the larger County Health budget.
During the County’s FY 2019-20 MHSA Annual Update planning process and through a series of stakeholder meetings held between April and August of 2019, priorities for available one-time funding were developed, which included Behavioral Health and Recovery’s (BHRS) participation in the Multi-County Full-Service Partnership (FSP) project to transform how behavioral health systems use data to continuously innovate and improve FSP services across California.
The nonprofit consulting company Third Sector was selected at the state level by the California Mental Health Services Authority (CalMHSA), as the provider to work with all counties participating in the multi-county redesign of FSP services to achieve improvement goals through November 30, 2021.
On November 6, 2019, the Mental Health and Substance Abuse and Recovery Commission held a public hearing, reviewed and recommended that your Board approve the Plan to Spend as part of the FY 2019-20 MHSA Annual Update.
On April 7, 2020, your Board approved the FY 2019-20 MHSA Annual Update, which included this one-time spending priority.
On September 29, 2020, your Board approved the agreement with California Mental Health Services Authority for the term of July 1, 2020 through December 31, 2024, in an amount not to exceed $750,000 for the Third Sector Multi-County Full-Service Partnership Project.
DISCUSSION:
Since the MHSA’s creation in 2004, FSPs have supported high risk individuals, often with co-occurring mental health needs. These MHSA-funded FSP programs are designed to apply a “whatever it takes” approach to serving and partnering with individuals living with severe mental illness. FSP programs are effectively improving life outcomes. However, despite the positive impact, the program has yet to reach its full potential. Many individuals with serious mental illness still struggle to achieve fuller, more independent lives through the outcomes that MHSA prioritizes (i.e., reduced criminal justice involvement, incarceration, unnecessary hospitalizations, in-patient stays, and homelessness).
Six counties, including San Mateo County, came together and proposed the Multi-County FSP project in response to the aforementioned challenges. CalMHSA serves as the administrative entity overseeing this project. CalMHSA has contracted with Third Sector through November 30, 2021 to lead counties through the process of developing and implementing this project, as well as facilitate a broader statewide exchange of collective learning and shared opportunities for the improvement of FSP programs.
Since the launch of the Multi-County FSP project, in addition to the broader statewide activities, Third Sector provided BHRS with local technical assistance to support the restructure of an upcoming FSP Request for Proposals (RFP). Specific activities have included development of eligibility criteria that ensures FSP services are prioritized to the highest‐need clients, minimum service requirements of FSP programs; and standardized step-down guidelines for clients. Additionally, Third Sector conducted two rounds of interviews and focus groups with FSP clients and providers and facilitated an FSP workgroup made up of clients, family members, adult and children and youth FSP providers and MHSA stakeholders. This input process informed FSP service requirements, data collection goals and client outcomes priorities that would support continuous improvement planning.
This amendment supports a contract extension with Third Sector to complete the FSP RFP development process, including project management, content development, cost modeling, training and reference materials development, and data usage improvements.
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 100% of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA will be completed by Third Sector.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Actual |
FY 2021-22 Estimated |
|
Percentage of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA that are completed by Third Sector |
100% 5 of 5 items |
100% 5 of 5 items |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2020 through December 31, 2024. The amount of the agreement is not to exceed $1,000,700 for the four-year term and $250,700 is included in the BHRS FY 2021-22 Adopted Budget. MHSA will fund 100% of the agreement.