REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
March 10, 2020
FROM
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title v
Amendments to Contracts for One-Stop Transitional Age Youth Center Services
End
RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 3, effective March 10, 2020, to the following contracts to provide One-Stop Transitional Age Youth Center services updating standard contract language and increasing the total contract amount by $1,108,397, from $7,677,500 to $8,785,897, with no change to the contract period of July 1, 2015 through June 30, 2020:
a. Valley Star Behavioral Health, Inc., Contract No. 15-387, increasing the contract amount by $400,000 from $3,650,000 to $4,050,000.
b. Victor Community Support Services, Contract No. 15-388, increasing the contract amount by $708,397 from $4,027,500 to $4,735,897.
2. Approve Amendment No. 3, effective March 10, 2020, to Contract No. 15-530 with Mental Health Systems, Inc. to provide One-Stop Transitional Age Youth Center services updating standard contract language and increasing the contract amount by $900,000, from $8,655,830 to $9,555,830, with no change to the contract period of July 28, 2015 through June 30, 2020.
(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 recommended increase of $2,008,397 for One-Stop Transitional Age Youth Center services will be funded with a combination of Mental Health Services Act, Medi-Cal Federal Financial Participation, and 2011 Realignment funding. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2019-20 budget.
BACKGROUND INFORMATION
One-Stop Transitional Age Youth (TAY) Centers stabilize, restore, and/or increase relationships and community networking for youth, ages 16-25, while reducing the cost of delivering mental health services by avoiding frequent and unnecessary hospitalization and/or homelessness. The recommended amendments will allow DBH to increase One-Stop TAY Center services at three centers located in the West Valley, Morongo Basin, and High Desert areas in response to an increase need for these services. In 2019-20, DBH anticipates TAY services will be provided to an additional 923 clients at an estimated cost of $2,175 per client.
One-Stop TAY Centers:
• Provide TAY specific behavioral health services and activities at non-stigmatized “safe” zones (One-Stop TAY Centers).
• Provide a place to socialize and seek counseling/therapy in a safe and non-threatening environment.
• Decrease use of inappropriate care for dually-diagnosed TAY.
• Provide treatment and co-location of community services within centralized locations and encourage access and family participation.
DBH has provided One-Stop TAY Center services to youth that are underserved, unserved and inappropriately served from diverse ethnic and lower social-economic populations with issues related to mental health, substance use disorders, and homelessness since 2007. Youth access One-Stop TAY services as walk-ins from the community or through referrals from the County or outside agencies.
PROCUREMENT
On June 23, 2015 (Item No. 26), as the result of formal procurement, the Board of Supervisors (Board) approved the contracts with Valley Star Behavioral Health, Inc. (Valley Star) and Victor Community Support Services (VCSS) for One-Stop TAY Center services in the amount of $4,606,500, for the period of July 1, 2015 through June 30, 2018. On July 28, 2015, (Item No. 27), the Board approved the contract with Mental Health Systems, Inc. (MHS) for One-Stop TAY Center services in the amount of $5,193,498, for the period of July 28, 2015 through June 30, 2018. The contracts included two one-year options to extend the contracts, contingent upon funding and contractor performance.
On May 22, 2018 (Item No. 44), the Board approved Amendment No. 1 to the contracts increasing the contract amount for Valley Star and VCSS by $1,535,500 from $4,606,500 to $6,142,000, increasing the contract amount for MHS by $1,731,166 from $5,193,498 to $6,924,664, updating standard contract language, and exercising the first option to extend the contracts through June 30, 2019.
On March 19, 2019 (Item No. 8), the Board approved Amendment No. 2 to contracts increasing the contract amount for Valley Star and VCSS by $1,535,500 from $6,142,000 to $7,677,500, increasing the contract amount for MHS by $1,731,166 from $6,924,664 to $8,655,830, updating standard contract language, and exercising the final option to extend the contracts through June 30, 2020.
DBH will continue to monitor contractor performance on a regular basis to ensure compliance standards are met. A new procurement for these services will be completed in 2019-20 for continued One-Stop TAY Center services.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on January 23, 2020; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on January 28, 2020; Finance (Christopher Lange, Administrative Analyst, 386-8393) on February 12, 2020; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on February 19, 2020.