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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 4916 with Infant Parent Center, for the provision of Mental Health Services Act (MHSA) Prevention and Early Intervention services, in the amount of $900,000, for the term of three years from July 1, 2020 through June 30, 2023;
2) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Infant Parent Center for services provided under this Agreement 4916 because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;”
3) Authorize the Health and Human Services Agency Director, or designee, to execute up to three (3) extensions of one (1) year each with the same terms/conditions, with no change to maximum contractual obligation, outlined in Agreement 4916, or as amended, so long as the term does not exceed the end date of the Fiscal Year (FY) 2023-26 MHSA Plan; and
4) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 4916, including amendments, which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.
FUNDING: State Funding: 100% Mental Health Services Act.
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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, is recovery-oriented, accessible and culturally competent, and offers services appropriate for the population that is served.
Under MHSA, each county is required to develop a Three-Year Program and Expenditure Plan (Plan), followed by two subsequent years of Annual Updates to the original Plan. The purpose of the Annual Update is to review existing projects and to make deletions, modifications, or additions to the original Plan. Therefore, planning, implementing, and updating each Plan and Annual Update is an ongoing, annual process.
MHSA established five (5) components that address specific goals for priority populations and key community mental health needs. Prevention and Early Intervention (PEI), one component of MHSA, focuses on education, supports, early interventions and a reduction in disparities for underserved and unserved groups seeking access to mental health services. This Agreement with Infant Parent Center for the Children 0-5 and Their Families Project services will implement early intervention strategies for families with children age perinatal to five (5) with the priority target population being families who are underserved or unserved; without health insurance or with Medi-Cal insurance; isolated; low-income; and have a family member at risk of suicide, school failure or dropout, prolonged suffering, and/or removal of children from their home resulting from untreated mental health concerns.
This Agreement is in accordance with the FY 2020-23 MHSA Plan adopted by the Board on June 9, 2020 (File ID: 20-0446). In addition, the Health and Human Services Agency (HHSA) is recommending the Board approve the Director of HHSA to execute three (3) one year extensions based on successful performance, thereby ensuring no lapse in services from the time the next MHSA Plan is submitted to Board for approval, and the availability of a new agreement. These one-year extensions of term are contingent on the Board approval of the related MHSA Plan or Annual Update. Should the need arise to increase compensation to accommodate the extended term, HHSA will return to the Board with an amendment to the Agreement.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, 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. The Health and Human Services Agency (HHSA) has documentation on file that such a review was performed for this Agreement.
ALTERNATIVES: Should the Board decline to approve this recommendation, HHSA would continue to provide services through existing contracts; however, HHSA will be out of compliance with the FY 2020-23 MHSA Plan, and California Proposition 63.
PRIOR BOARD ACTION:
1) 06/20/17, 17-0551, MHSA FY 2017-18 - FY 2019-20 Three-Year Program and Expenditure Plan & 06/25/19, 19-0936, HHSA - MHSA Plan Update 2019-20
2) 06/09/20, 20-0446, HHSA Mental Health Services Act Plan FY 20-21 - FY 22-23
3) 02/13/18, 18-0038, HHSA Infant Parent Center Agreement #2088 & 10/08/19, 19-1281, HHSA Infant Parent Center, 2088 A1
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with the Agenda item. This Agreement for Services is a renewal of a prior year agreement and continues to be funded with Mental Health Services Act funding. Sufficient appropriations were included in the Fiscal Year 2020-21 budget and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Obtain signature of Chair on the original Agreement for Services #4916.
2) Return one (1) fully executed copy of Agreement to the HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
County of El Dorado strategic plan goal: Healthy Communities: Improved health, well-being, and self-sufficiency of El Dorado County communities, residents, and visitors.
CONTACT
Don Semon, Director, Health and Human Services Agency