Title
a. Approve and authorize the Director of Health Services or designee to execute a Mental Health Services Agreement for a retroactive term beginning April 1, 2025 through June 30, 2026 with Harmony at Home for the provision of school-based counseling and youth mental health education in the amount of $145,315 for Fiscal Year (FY) 2024-2025 and $627,620 for Fiscal Year (FY) 2025-2026 for a total agreement amount not to exceed $772,935; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($77,294) of the original Agreement amount, do not significantly change the scope of services and do not increase the total not to exceed amount over $850,229.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a Mental Health Services Agreement for a retroactive term beginning April 1, 2025 through June 30, 2026 with Harmony at Home for the provision of school-based counseling and youth mental health education in the amount of $145,315 for Fiscal Year (FY) 2024-2025 and $627,620 for Fiscal Year (FY) 2025-2026 for a total agreement amount not to exceed $772,935; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($77,294) of the original Agreement amount, do not significantly change the scope of services and do not increase the total not to exceed amount over $850,229.
SUMMARY/DISCUSSION:
As part of the County of Monterey Health Department, Behavioral Health Bureau’s Access and
Mental Health Services Act (MHSA) outreach, engagement and mental health programs, the County executed Agreement A-15270 and its subsequent three (3) amendments with Harmony at Home to meet goals and objectives outlined in the County’s MHSA Plan and the MHSA Rainbow Connections Innovation Plan. As the maximum number of allotted amendments to Agreement A-15270 has been reached, this new Agreement is put forward to replace and expand the timeline, scope and budget of programs previously supported through Agreement A-15270. This Agreement sustains existing MHSA PEI funded services in Programs 1-3 through FY2025-26 on a status quo basis and expands the scope and budget for MHSA INN funded services in Program 4. This agreement is retroactive to April 1, 2025, due to ongoing contract negotiations for programs being offered to the County of Monterey by Harmony at Home. This provider does not provide services billed to Medi-Cal, and as such, the related Medi-Cal contract language is redlined consistent with item A 24-326.
This work supports the County of Monterey Health Department 2025 - 2028 Strategic Plan Goal(s): 2. Provide Exceptional Person-Centered Care through Accessible, Community-Focused Health Services. It also supports one of the ten essential public health services, specifically 7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded with Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) and MHSA Innovation (INN) funds. The funds for this Agreement are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) Fiscal Year (FY) FY 2024-25 Adopted Budget. The funds for FY 2025-26 are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) FY 2025-26 Requested Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Laura Henderson, Management Analyst II, 235-7548
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Agreement