REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
December 17, 2024
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, increasing the total contract amounts by $212,500, from $6,175,000 to $6,387,500, and extending the contract term three months, for a total contract period of July 1, 2019 through March 31, 2025:
1. Amendment No. 2 to Contract No. 19-385 with Rim Family Services, Inc., increasing the total contract amount by $37,500, from $825,000 to $862,500.
2. Amendment No. 3 to Contract No. 19-386 with South Coast Children's Society, Inc., dba South Coast Community Services, increasing the total contract amount by $112,500, from $3,975,000 to $4,087,500.
3. Amendment No. 2 to Contract No. 19-387 with Victor Community Support Services, Inc., increasing total contract amount by $62,500, from $1,375,000 to $1,437,500.
(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 $212,500 is funded by Mental Health Services Act funds. Adequate appropriation and revenue are included in the Department of Behavioral Health’s (DBH) 2024-25 recommended budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents experiencing severe mental illness and/or SUD. 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 SUD. Upon the approval of the recommended amendments to the contracts for CWE program services, DBH projects services for an additional 740 participants countywide, with an average cost of $287 per participant in the additional three months 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 Contract No. 19-385 with Rim Family Services, Inc., for $675,000; Contract No. 19-386 with South Coast Community Services, for $2,025,000; and Contract No. 19-387 with Victor Community Support Services, 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 Contract No. 19-386 with South Coast Community Services, 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. The increased amount was needed in order to provide additional Medi-Cal Specialty Mental Health Services through a pilot program at Chaffey College campuses in the West Valley Region.
On December 19, 2023 (Item No. 25), the Board approved Amendment No. 1 to Contract No. 19-385 with Rim Family Services, Inc. (RFS), increasing the total contract amount by $150,000, from $675,000 to $825,000; Amendment No. 2 to Contract No. 19-386 with South Coast Community Services (SCCS), increasing the total contract amount by $450,000, from $3,525,000 to $3,975,000; and Amendment No. 1 to Contract No. 19-387 with Victor Community Support Services (VCSS), increasing total contract amount by $250,000, from $1,125,000 to $1,375,000, and extending all contract terms by one year, for a total contract periods of July 1, 2019 through December 31, 2024.
DBH is recommending extending the contracts with RFS, VCSS, and SCCS for an additional three months to allow sufficient time to complete the ongoing solicitation process that is currently underway and is expected to be finalized for service effective April 1, 2025.
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 Contracts (Michael Shin, Contracts Supervisor, 388-0899) on December 9, 2024; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on December 11, 2024; Finance (Paul Garcia, Administrative Analyst, 386-8392) on December 11, 2024; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on December 11, 2024.