File #: 20-0171    Version: 1
Type: Agenda Item Status: Approved
File created: 1/27/2020 In control: Board of Supervisors
On agenda: 2/25/2020 Final action: 2/25/2020
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign Agreement for Services 4603 with Nancy Callahan, doing business as I.D.E.A. Consulting, to provide assessment, analysis, and recommendations regarding the Behavioral Health Adult System of Care, for the term of twelve months upon execution, in the amount of $100,000; 2) Make findings that in accordance with County Ordinance Section 3.13.030 (F), this contract is necessary to “protect against a conflict of interest or to ensure independent and unbiased findings where there is a need for an outside perspective”; and 3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 4603, 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: 50% Behavioral Health Realignment and 50% MHSA funding.
Attachments: 1. A - Approved CRS Agmt #4603 2-25-20, 2. B - Agreement 4603 with IDEA Consulting 2/25/20, 3. Executed Agreement for Services 4603
Related files: 21-1444, 22-0047, 22-0875, 21-0292
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 4603 with Nancy Callahan, doing business as I.D.E.A. Consulting, to provide assessment, analysis, and recommendations regarding the Behavioral Health Adult System of Care, for the term of twelve months upon execution, in the amount of $100,000;
2) Make findings that in accordance with County Ordinance Section 3.13.030 (F), this contract is necessary to “protect against a conflict of interest or to ensure independent and unbiased findings where there is a need for an outside perspective”; and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 4603, 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: 50% Behavioral Health Realignment and 50% MHSA funding.
Body
DISCUSSION / BACKGROUND:
The Health and Human Services Agency (HHSA) Behavioral Health Services division has faced high levels of staff vacancy and turnover for many years, resulting in challenges to providing direct services to the community. Children's Specialty Mental Health Services have been contracted with local providers at least since 2004-05, thereby allowing the County staff to focus on Adult Mental Health Services. In 2014, the Psychiatric Health Facility services were contracted with Telecare, allowing the Behavioral Health staff to focus on adult outpatient services. In the fall of 2019, the Chief Administrative Office inquired as to the potential benefits of contracting for all Adult Mental Health Services. The goal would be to ensure the most effective, efficient and appropriate levels of service for Adult Mental Health Services in El Dorado County. In response to these considerations, the Health and Human Services Agency determined that an overview of the current practices, polici...

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