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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Amendment 1 to Agreement for Services 470-S1511 with Big Brothers Big Sisters of El Dorado County, for the provision of mentoring services in support of the Mental Health Services Act Mentoring for 3-5 Year Olds by Adults and Older Adults Prevention and Early Intervention Project, for a one (1) year extension of term through June 30, 2018, and an increase of $25,000 for a maximum contractual obligation of $100,000; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 470-S1511, 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: Mental Health Services Act.
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DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) recommending the Board approve Amendment 1 to Agreement for Services 470-S1511 with Big Brothers Big Sisters of El Dorado County (BBBS), to provide mentoring services in support of the Mentoring for 3-5 Year Olds by Adults and Older Adults (the Project) Prevention and Early Intervention (PEI) Project, thus ensuring HHSA meets the requirements of the Mental Health Services Act (MHSA) Plan. The MHSA Plan mandates that stakeholders are to be provided with the opportunity to provide input into the MHSA Plan development on topics such as community needs and funding allocations. During the MHSA community planning process for FY 2016-17, one of the unmet needs identified by the public was mental health services for children under the age of five (5) and their families who do not meet the specialty mental health criteria. To address those needs, the Project will continue to be included in the MHSA Plan under the PEI component. BBBS was recognized by the MHSA stakeholders as the sole source provider for these specialized services.
Additionally, once an MHSA Plan is adopted by the Board of Supervisors, the County implements or maintains the PEI projects identified in the MHSA Plan. Due to the specialized nature of the services required under the Project and the fact that BBBS was identified by MHSA stakeholders as the sole source provider, the provision of these services are more economically and feasibly performed by the Big Brothers Big Sisters of El Dorado County.
DISCUSSION / BACKGROUND:
In 2004, California voters passed Proposition 63, the Mental Health Services Act. The 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.
On August 26, 2014, the Board approved the MHSA Three-Year Plan, which covers Fiscal Year (FY) 2014-15, 2015-16, and FY 2016-17 (File 14-0806, Item 35). With each MHSA Three-Year Plan, there are Annual Updates. On August 25, 2015 and June 13, 2016, the Board approved Annual Updates (File 15-0964, Item 19 and File 15-0964, Item 2). Approval of these Annual Updates authorizes HHSA to continue contracting out for services pursuant to the MHSA Plan, through June 30, 2017. It is anticipated that HHSA will present the next Three-Year Plan in June 2017, which will cover FY 2017-18, FY 2018-19, and FY 2019-20.
Under the PEI Component of the MHSA Plan is the “Youth and Children’s Services” project, which includes the “Mentoring for 3-5 Year Olds by Adults and Older Adults” project (the Project). The objective of the Project is to provide mentoring and early intervention services to children ages 3-5 and their families with the goals of improving the emotional and physical stabilization of at-risk families, improving infant/child wellness, and improving coping and parenting abilities for parents.
HHSA has contracted with BBBS, specifically for services related to the MHSA Plan provisions of the Project, since 2014. BBBS provides specialized services for children age 3-5 and their families. For more than 100 years, the BBBS have operated under the belief that every child has the ability to succeed and thrive in life. They develop one to one mentoring relationships to help children reach their full potential.
Amendment 1 to Agreement for Services 470-S1511 was developed in response to the current MHSA Three-Year Plan, and approval of this Amendment will ensure continuity of services until the new MHSA Three-Year Plan is approved. If necessary, this Agreement may be amended in the future to incorporate any changes in the new MHSA Three-Year Plan. The original Agreement also contains “Default, Termination, and Cancellation” language, which allows the County to terminate the Agreement with seven (7) days advance written notice of intent to cancel without cause.
ALTERNATIVES:
Disapproval of Amendment 1 to Agreement for Services 470-S1511 will result in difficulty meeting the service demands of the community and HHSA’s mandated service requirements as specified in the MHSA Plan, as well as disrupt the progress and continuity of care for clients currently receiving services from this vendor.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
County Counsel, Human Resources, Risk Management, and Procurement and Contracts.
CAO RECOMMENDATION:
It is recommended that the Board approve this item.
FINANCIAL IMPACT:
There is no change to Net County Cost associated with this Agenda item. Sufficient appropriations were included in the fiscal year (FY) 2016-17 budget, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1. Clerk of the Board to obtain signature of Chair on two (2) original Amendments 1 to Agreement for Services 470-S1511.
2. Clerk of the Board to return one (1) fully executed Amendment 1 to Agreement for Services 470-S1511 to HHSA at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
Health and Human Services Agency Strategic Plan Objective 3.1.6: Coordinate a community wide response to Adverse Childhood Experiences.
CONTACT
Patricia Charles-Heathers, Ph.D., Director