REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 19, 2023
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Amendments to Contracts for Community Wholeness and Enrichment Program Services
End
RECOMMENDATION(S)
Recommendation
Approve amendments to the following contracts for the provision of Community Wholeness and Enrichment Program Services, updating standard contract language, increasing the total contract amounts by $850,000, from $5,325,000 to $6,175,000, and extending the contract term one year for a total contract period of July 1, 2019 through December 31, 2024:
1. Amendment No. 1 to Contract No. 19-385 with Rim Family Services, Inc., increasing the total contract amount by $150,000, from $675,000 to $825,000.
2. Amendment No. 2 to Contract No. 19-386 with South Coast Community Services, increasing the total contract amount by $450,000, from $3,525,000 to $3,975,000.
3. Amendment No. 1 to Contract No. 19-387 with Victor Community Support Services, Inc., increasing total contract amount by $250,000, from $1,125,000 to $1,375,000.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Provide for the Safety, Health and Social Services Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The increase of $850,000 is funded by Mental Health Services Act Prevention and Early Intervention funds. Adequate appropriation and revenue are included in the Department of Behavioral Health’s (DBH) 2023-24 budget and will be included in the 2024-25 recommended budget.
BACKGROUND INFORMATION
DBH is responsible for providing behavioral health and substance use disorder services to San Bernardino County (County) residents who are experiencing mental health issues and substance use disorders. An integral part of this delivery system consists of County-operated and contracted service providers delivering a variety of mental health services which includes the Community Wholeness and Enrichment (CWE) program.
The primary objective of the CWE program is to identify and help manage early mental health symptoms through the use of community services, collaborative approaches, primary care, and short-term outpatient mental health services offered by agencies within the community. The program requires providers to collaborate with various partners that include local psychiatric hospitals, faith-based organizations, educational institutions, law enforcement, and multiple County departments. In addition, objectives are met by general community education presentations on the signs and symptoms of behavioral health conditions; mental health screenings; mental health education to the families of those experiencing early onset of a mental health disorder; short-term (less than one year) mental health services; and case management services. CWE program services are aimed at avoiding crisis, educating families on their role in an individuals' recovery, and reducing stigma of mental health issues and services.
CWE program services are intended for transitional age youth (ages 16-25) and adults (ages 26-59) throughout the county who are experiencing the initial onset of mental or emotional illness and/or substance use disorder. Upon the approval of the recommended amendments to the contracts for CWE program services, DBH projects services for an additional 2,961 participants countywide, with an average cost of $287 per participant in the additional fiscal year included in this contract extension.
On June 11, 2019 (Item No. 19), as a result of a formal procurement, the Board of Supervisors (Board) approved the contracts with Rim Family Services, Inc., Contract No. 19-385 for $675,000, South Coast Community Services, Contract No. 19-386 for $2,025,000 and Victor Community Support Services, Contract No. 19-387 for $1,125,000 for the period July 1, 2019 through December 31, 2023.
On April 21, 2020 (Item No. 19), the Board approved Amendment No. 1 to South Coast Community Services, Contract No. 19-386, increasing the contract amount by $1,500,000 from $2,025,000 to $3,525,000, with no change to the contract period of July 1, 2019 through December 31, 2023.
Approval of these amendments will allow DBH to continue to provide CWE program services to the County. DBH will monitor contract performance on a regular basis to ensure performance and compliance standards are met by reviewing monthly reports, ongoing site visits to review consumer progress, as well as an annual program review. Provider invoices will be reviewed and approved by DBH Program staff to ensure client counts are accurate prior to being forwarded to DBH Fiscal staff for payment. DBH Fiscal staff will verify signatures and service costs prior to issuing payment.
PROCUREMENT
A new formal procurement for the provision of CWE services will be conducted and concluded in 2024-25 for services effective January 1, 2025. DBH is recommending extending the current contracts in the Recommendation for an additional year and increasing the contract total due to the necessary work time required to compile and prepare the RFP and undergo the required DBH program, fiscal, administrative, and legal reviews.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Ellayna Hoatson, Contracts Supervisor, 388-0858) on November 27, 2023; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on November 29, 2023; Finance (Christopher Lange, Administrative Analyst, 386-8393) on November 30, 2023; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on December 1, 2023.