File #: A 12-226    Name: Door to Hope Amend #1
Type: BoS Agreement Status: Passed
File created: 12/10/2012 In control: Board of Supervisors
On agenda: 1/8/2013 Final action: 1/8/2013
Title: Approve and authorize the Director of Health to sign Amendment No. 1 to the Mental Health Services Agreement A-12268 with Door to Hope for the provision of mental health rehabilitation services. Amendment No. 1 revises the Scope of Services, Payment and Billing Provisions and Budget and Expenditure Reports, and increases Fiscal Year (FY) 2012-13 annual amount by $418,014.19, FY 2013-14 and FY 2014-15 annual amounts by $405,638.31 per year for a revised total Agreement amount not to exceed $7,285,951.81.
Sponsors: Ray Bullick
Attachments: 1. Amendment No 1_DTH - FFF ICT MCSTART NE_12 10 2012.pdf, 2. Completed Board Order, 3. Fully Executed Agreement, Amendment No. 1 Door Hope
Title
Approve and authorize the Director of Health to sign Amendment No. 1 to the Mental Health Services Agreement A-12268 with Door to Hope for the provision of mental health rehabilitation services.  Amendment No. 1 revises the Scope of Services, Payment and Billing Provisions and Budget and Expenditure Reports, and increases Fiscal Year (FY) 2012-13 annual amount by $418,014.19, FY 2013-14 and FY 2014-15 annual amounts by $405,638.31 per year for a revised total Agreement amount not to exceed $7,285,951.81.
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign Amendment No. 1 to the Mental Health Services Agreement A-12268 with Door to Hope for the provision of mental health rehabilitation services.  Amendment No. 1 revises the Scope of Services, Payment and Billing Provisions and Budget and Expenditure Reports, and increases Fiscal Year (FY) 2012-13 annual amount by $418,014.19, FY 2013-14 and FY 2014-15 annual amounts by $405,638.31 per year for a revised total Agreement amount not to exceed $7,285,951.81.
 
SUMMARY/DISCUSSION:
Door to Hope (DTH) facilitates various treatment centers for alcoholism, drug abuse and mental health rehabilitation services throughout the City of Salinas.  This Agreement includes four (4) program components with the addition of the Families First and Foremost (FFF) Program.  The other three (3) program components are the Integrated Co-occurring Treatment (ICT) Program, Monterey County Screening Team for Assessment, Referral and Treatment (MCSTART) Program, and the Nueva Esperanza Program.
 
It is recommended that this Amendment No. 1 become effective July 1, 2012.  This Amendment was delayed for presentation to the Board of Supervisors because of the lengthy time process to update the four (4) program components.  
 
Approval of this Amendment is mission critical to meet the requirements of the Mental Health Services Act (MHSA) and to sustain the continuity of core services to the children and their families in Monterey County.  The goal of each program is to improve the child's and youth's development, improve overall functioning as well as family functioning, and reduce the possibility of future residential care, out-of-home placement, and/or hospitalization.
 
This Agreement contains the County's standard 30-day "no cause" provision (Section IV. B) and an additional defunding provision (Section IV. D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.  
 
OTHER AGENCY INVOLVEMENT:
County Counsel, Auditor-Controller, and Risk Management have reviewed and approved this Agreement as to legal form, fiscal provisions, and insurance requirements.  Amendment No. 1 to Agreement A-12268 is on file with the Clerk of the Board.
 
FINANCING:
This Agreement is funded by MHSA and Medi-Cal revenues.  The funds for this Agreement ($2,436,901.19) are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2012-13 Adopted Budget.  Approval of this action has no impact on the County General Fund.  
 
Prepared by: Gloria Rodriguez, Management Analyst 8986
Approved by: Ray Bullick, Director of Health, 4526
 
Attachments:
Amendment No. 1 to Agreement A-12268 is on file with the Clerk of the Board