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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Student Outreach and Engagement Centers and Mental Health Support services, provided by Summitview Child and Family Services, Inc. is in the public’s best interest and that there are specialty skills and qualifications not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B), El Dorado County Charter, Section 210(b)(6), and/or Government Code Section 31000;
2) Approve and authorize the Chair to sign the First Amendment to Agreement for Services 6491 with Summitview Child and Family Services, Inc., increasing the maximum obligation by $150,000 for a new not-to-exceed amount of $300,000, and with no change to the current term effective July 1, 2022, through June 30, 2023; and
3) Authorize the HHSA Director or Director of Behavioral Health to execute further documents relating to Agreement 6491, contingent upon approval by County Counsel and Risk Management, including amendments which do not increase the maximum dollar amount or term of the Agreement.
FUNDING: 100% State Mental Health Services Act Funding.
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DISCUSSION / BACKGROUND:
In 2004, California voters passed Proposition 63, the Mental Health Services Act (MHSA). MHSA imposes a one (1) percent tax on personal income in excess of $1,000,000. The funds from the tax are distributed to California counties and are intended to transform the Mental Health System into one that is consumer and family driven, recovery-oriented, accessible, and culturally competent and a system that offers services appropriate for the population that is served. MHSA requires counties to prepare a MHSA Three-Year Program and Expenditure Plan (Plan). The Plan has five (5) components intended to address specific goals for priority populations and other key community mental health needs, which are Prevention and Early Intervention (PEI), Community Services and Supports (CSS), Innovation (INN), Workforce Education and Training (WET), and Capital Facilities and Technology Needs (CFTN). Each year, counties are required to follow a formal process for providing an annual update to the Plan, which requires Board approval. The purpose of the Annual Update is to review the Plan's existing projects and based upon their status or other identified needs, to make additions, modifications, or deletions to the Plan.
On June 9, 2020, the Board adopted and authorized implementation of the MHSA Fiscal Year 2020-21 through 2022-23 Three-Year Program and Expenditure Plan (Legistar item 20-0446). Included in the Three-Year Program and Expenditure Plan is the Student Outreach and Engagement Centers and Mental Health Supports (Student Wellness Centers) project. Services provided in the project include mental health screenings, assessments, individual mental health clinical services, outreach and engagement, and linkage to County and community services. This two-year pilot project was set to end on June 30, 2021, however as youth in El Dorado County may experience varying mental health ramifications related to the COVID-19 Public Health Emergency, community support for continuing the project continued to grow. As such, throughout the Community Program Planning Process for the most recent MHSA Fiscal Year (FY) 2021-22 Annual Update, community stakeholders openly supported the Student Wellness Centers project and recommended it be extended to help meet this anticipated need and expanded to include the provision of services in middle schools. After analyzing the prospect of continuing and expanding the program by Behavioral Health Management, it was determined to meet criteria for continuation and the FY 2021-22 MHSA Annual Update (Legistar item 21-0713) adopted by the Board of Supervisors on June 22, 2021, included this project.
Agreement 6491 with Summitview Child and Family Services, Inc., (SVCFS) was approved by the Board on June 21, 2022, (Legistar item 22-0564) in which SVCFS contracted to provide a Student Wellness Center at a minimum of one (1) middle school within the El Dorado County Office of Education school district. Under the existing contract, SVCFS has established student wellness centers in three (3) El Dorado County middle schools. The main objective of this program is to create wellness centers that are accessible, inviting, and supportive to students seeking mental health education, mental health services, and linkage to community services and outreach.
In the FY 2022-23 MHSA Annual Plan Update, under modified PEI projects, the Board approved the increase to support the Student Wellness Center from the original $150,000 budgeted to $300,000 (Legitar item 22-0832.) This first Amendment to Agreement 6491 is necessary to implement that approved increase.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, effective October 11, 2006, through October 19, 2022, which was in effect at the time the original agreement became effective, the contractor selection process for service contracts in excess of $100,000 must include a review of the scope of services and contractor’s professional qualifications by a group of individuals (including at least one representative from outside the department requesting the services) qualified to judge the contractor’s ability to perform the services. HHSA has documentation on file that such a review was performed for Agreement 6491 with Summitview Child and Family Services, Inc.
ALTERNATIVES:
Should the Board decline to approve this recommendation, this MHSA project would be delayed until HHSA could identify another contractor willing and able to provide the project services. The length of time such a process could take would make HHSA out of compliance with the MHSA Plan. Further, SVCFS already has established office space at middle schools within the district. It may pose an additional delay and challenge for a new contractor to obtain similar office space at the middle schools.
PRIOR BOARD ACTION:
1) 06/09/2020, 20-0446, MHSA FY 2020-2021 through FY 2022-2023 Three Year Program and Expenditure Plan
2) 06/22/2021, 21-0713, MHSA FY 2021-2022 Annual Update
3) 06/21/2022, 22-0564, HHSA Summitview Child & Family Services, 6491
4) 08/30/2022, 22-0832, HHSA 2022-23 MHSA Plan update
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management. Auditor Controller notified per Board Policy B-12.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no General Fund cost associated with this Agenda item. This item will be funded with Mental Health Services Act funding. Sufficient appropriations were included in the Fiscal Year 2022-23 Budget.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain signature of Chair on one (1) original First Amendment to Agreement for Services 6491 and provide a copy in portable document format (.pdf) to the contracts unit.
STRATEGIC PLAN COMPONENT:
Healthy Communities “Achieve better outcomes for children, young adult, and families in the areas of mental illness and substance abuse prevention.”
CONTACT
Olivia Byron-Cooper, MPH, Interim Director, Health and Human Services Agency