REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 11, 2024
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Contracts for Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment, and Recovery Services
End
RECOMMENDATION(S)
Recommendation
Approve amendments to contracts with the following agencies, effective July 1, 2024 for the provision of Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment, and Recovery Services, increasing the aggregate amount by $800,000 for clients referred by the Department of Children and Family Services in fiscal year 2024-25, and updating standard contract language:
1. High Desert Child, Adolescent and Family Services Center, Inc., Amendment No. 3 to Contract No. 22-471, with no change to the contract period of July 1, 2022 through June 30, 2027.
2. Inland Behavioral and Health Services, Inc., Amendment No. 2 to Contract No. 22-472, with no change to the contract period of July 1, 2022 through June 30, 2027.
3. Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services, Amendment No. 3 to Contract No. 22-473, with no change to the contract period of July 1, 2022 through June 30, 2027.
4. Social Science Services, Inc. dba Cedar House Life Change Center, Amendment No. 2 to Contract No. 22-475, with no change to the contract period of July 1, 2022 through June 30, 2027.
5. CLARE|MATRIX, Amendment No. 1 to Contract No. 23-601, with no change to the contract period of July 1, 2023 through June 30, 2027.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item will not result in the use of additional Discretional General Funding (Net County Cost). The recommended aggregate increase of $800,000 for Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment, and Recovery Services for clients referred by the Department of Children and Family Services (CFS) will be funded by CFS with existing County local share, which may include Discretionary General Funding and 1991 Realignment. Adequate appropriation and revenue will be included in the Department of Behavioral Health’s (DBH) 2024-25 budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County residents experiencing severe mental illness and/or SUD. SUD Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment, and Recovery Services (EI-OT-IOT-RS) provide a full range of SUD prevention, treatment services, and education for communities and residents in the county.
The aggregate amount of $800,000 is funding for the providers of SUD EI-OT-IOT-RS services listed in Recommendation 1 and used on a first come, first served basis for clients referred by CFS for 2024-25.
Early Intervention services are intended for county youth (ages 12 through 17) and young adults (ages 18 through 20) to identify and address potential substance use before it develops into more serious conditions. These services often involve screening, assessment, brief counseling, or psychoeducation to help clients understand the risks of substance abuse and develop healthy coping skills.
Outpatient Treatment is designed for clients with SUDs and provides counseling, therapy, and supportive services without requiring clients to live at a treatment facility. Services typically include individual, group, and family therapy, as well as medication management and psychoeducation.
Intensive Outpatient Treatment is a more structured and time-intensive form of outpatient care, designed for clients with moderate to severe SUDs or co-occurring mental health issues. Clients participate in multiple treatment sessions per week, which may include individual, group, and family therapy, as well as case management and other support services.
Recovery Services provide those who have completed treatment with a place to seek support, allowing clients to reconnect with a former treatment provider to assist the client in navigating their recovery journey, when a formal treatment episode is not warranted. These services may include peer support, self-help groups, case management, and ongoing counseling or therapy, with the goal of maintaining abstinence and preventing relapse.
On June 28, 2022 (Item No. 35), as the result of a formal procurement, the Board of Supervisors (Board) approved Contract No. 22-471 with High Desert Child, Adolescent and Family Services Center, Inc. (HDCAFSC) in the amount of $2,290,745, Contract No. 22-472 with Inland Behavioral and Health Services, Inc. (IBHS) in the amount of $1,685,950, Contract No. 22-473 with Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services (IVRS) in the amount of $4,769,000, and Contract No. 22-475 with Social Science Services, Inc. dba Cedar House Life Change Center (Cedar House) in the amount of $1,530,295, to provide EI-OT-IOT-RS for a combined contract total of $10,275,990 for the period of July 1, 2022 through June 30, 2027.
On May 23, 2023 (Item No. 25), the Board approved Amendment No. 1 to Contract No. 22-471 with HDCAFSC, Contract No. 22-472 with IBHS, Contract No. 22-475 with Cedar House, and Contract No. 22-473 with IVRS, adding an aggregate amount of $1,600,000 for clients referred by CFS with no change to the contract period of July 1, 2022 through June 30, 2027. The amendment with IVRS also included an increase of the total contract amount of $57,000, from $4,769,000 to $4,826,000, with no change to the contract period of July 1, 2022 through June 30, 2027.
On June 27, 2023 (Item No. 41), as a result of formal procurement, the Board approved Contract No. 23-601 with CLARE|MATRIX in the amount of $1,520,000, in addition to the aggregate amount of $800,000, for clients referred by CFS for 2023-24, for the contract period of July 1, 2023 through June 30, 2027.
On May 7, 2024 (Item No. 21), the Board approved Amendment No. 2 to the Contract No. 22-471 with HDCAFSC, increasing the total contract amount by $810,465, from $2,290,745 to $3,101,210, with no change to the contract period of July 1, 2022 through June 30, 2027. Additionally, the Board approved Amendment No. 2 to Contract No. 22-473 with IVRS, increasing the total contract amount by $938,693, from $4,826,000 to $5,764,693, with no change to the contract period of July 1, 2022 through June 30, 2027.
The recommended contract amendments provide $800,000 in additional aggregate funding to be used by the providers listed in Recommendation 1 on a first come, first served basis for clients referred by CFS for 2024-25, add Campaign Contribution Disclosure Senate Bill (SB 1439) language, and add Executive Order N-6-22 - Russia Sanctions language, with no change to the contract periods. Approval of the contract amendments will allow DBH to extend services to 679 CFS referred clients annually at an average cost of $1,178 per client for all services.
DBH will also implement mechanisms to regularly review: 1) client service data and progress, conduct site visits and annual monitoring to ensure performance and compliance standards of the contract(s) are met; and 2) provider invoices administratively and programmatically to ensure client and/or bed counts are accurate prior to payment processing.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Ellayna Hoatson, Contract Supervisor, 388-0858) on May 9, 2024; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on May 21, 2024; Finance (Paul Garcia, Administrative Analyst, 386-8392) on May 21, 2024; County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on May 23, 2024.