REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
November 5, 2019
FROM
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title v
Amendments to Contracts for Wraparound Mental Health Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3, effective July 1, 2020, to the following contracts for the provision of wraparound mental health services, exercising the final one-year option to extend, and increasing the total contract amount by $29,196,687, from $89,786,748, to $118,983,435 for the total contract period of July 1, 2016 through June 30, 2021:
1. Lutheran Social Services of Southern California, Contract No. 16-403, increasing the total contract amount by $2,550,000, from $8,400,000 to $10,950,000.
2. Mental Health Systems, Inc., Contract No. 16-404, increasing the total contract amount by $2,230,000, from $5,620,000 to $7,850,000.
3. Mountain Counseling & Training, Inc., Contract No. 16-405, increasing the total contract amount by $510,000, from $1,590,000 to $2,100,000.
4. South Coast Community Services, Contract No. 16-406, increasing the total contract amount by $9,706,687, from $29,526,748 to $39,233,435.
5. Uplift Family Services, Contract No. 16-407, increasing the total contract amount by $5,550,000, from $19,050,000 to $24,600,000.
6. Victor Community Support Services, Inc., Contract No. 16-408, increasing the total contract amount by $8,650,000, from $25,600,000 to $34,250,000.
(Presenter: Veronica Kelley, Director, 388-0801)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The increase of $29,196,687 will be funded by a combination of Medi-Cal Federal Financial Participation (FFP), Mental Health Services Act (MHSA), and 2011 Realignment. Adequate appropriation and revenue will be included in the Department of Behavioral Health’s (DBH) 2020-21 recommended budget.
BACKGROUND INFORMATION
Wraparound mental health services include two types of services: Senate Bill (SB) 163 Wraparound services and Comprehensive Children and Family Support Services (CCFSS) Wraparound services. These specialized services are provided almost exclusively in the field and designed to stabilize children/youth to enable them to remain in their homes, rather than moving to a group home placement. Each provider has a specific responsibility and role within the County’s treatment delivery system. The availability of wraparound mental health services assists in meeting the needs of children/youth who have contact with the Probation Department and Children and Family Services and are at-risk of placement. Upon approval of the recommended amendments, DBH anticipates that in 2020-21 the agencies will provide wraparound mental health services to approximately 2,589 additional children/youth, at an estimated cost of $11,277 per child/youth.
DBH is responsible for providing mental health and/or substance use disorder services to San Bernardino County residents who are experiencing major mental illness and/or a substance use disorder. An integral part of the service delivery system consists of County operated and contracted service providers delivering a variety of mental health treatment services, including specialized services for children/youth that are at risk of being placed in a group home.
SB 163 identifies wraparound services as an intensive, community based, family-centered, strength-based, needs-driven process designed to allow children with serious behavior and/or emotional difficulties to remain in their community or be placed in the lowest level of care possible instead of being placed in a group home setting. CCFSS Wraparound Services are directed towards children, youth, and their families who are not eligible for the more extensive SB 163 Wraparound services. These services target children/youth who experience emotional disturbances, co-occurring disorders, and whose family’s yearly income is 200 percent or less of the federal poverty level.
PROCUREMENT
On June 14, 2016 (Item No. 23), as result of a procurement, the Board of Supervisors (Board) approved contracts with the agencies listed in the Recommendation to provide wraparound mental health services, in an amount not to exceed $60,590,061, for the period of July 1, 2016 through June 30, 2019. The contracts included the option to extend for two one-year periods contingent upon the availability of funding and contractor performance.
On April 30, 2019 (Item No. 25), the Board approved Amendment No. 1 to the contracts, increasing the total contract amount by $20,196,687, from $60,590,061 to $80,786,748, and exercising the first one-year option to extend the contracts through June 30, 2020.
On July 23, 2019 (Item No. 11), the Board approved Amendment No. 2 to the contracts, increasing the total contract amount by $9,000,000, from $80,786,748 to $89,786,748, with no change to the total contract period of July 1, 2016 through June 30, 2020.
Amendment No. 3 will exercise the final option to extend the contracts in order to continue wraparound mental health services through June 30, 2021. DBH will continue to monitor contract performance on a regular basis to ensure compliance standards are met.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Ellayna Hoatson, Contract Supervisor, 388-0858) on September 24, 2019; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on September 26, 2019; Finance (Christopher Lange, Administrative Analyst, 386-8393) on October 17, 2019; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on October 17, 2019.