Title
Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 4 to Mental Health Services Agreement A-12779 with Door to Hope to extend the term for one (1) additional Fiscal Year (FY) for a new term of July 1, 2015 through June 30, 2020 and revise the total Agreement amount from $16,727,521 to $19,770,611, which represents an increase of $3,043,090 for FY 2019-20.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 4 to Mental Health Services Agreement A-12779 with Door to Hope to extend the term for one (1) additional Fiscal Year (FY) for a new term of July 1, 2015 through June 30, 2020 and revise the total Agreement amount from $16,727,521 to $19,770,611, which represents an increase of $3,043,090 for FY 2019-20.
SUMMARY/DISCUSSION:
Door to Hope provides mental health rehabilitation services for children, youth, young adults and their families through the following programs: Parents as Teachers; Integrated Co-Occurring Treatment; Monterey County Screening Team for Assessment, Referral and Treatment; and Santa Lucia. Based upon a four-year trend analysis, the total annual FY 2019-20 funding for the following programs are proposed to be adjusted as follows: Parents As Teachers reduced by $227,000; Monterey County Screening Team for Assessment, Referral and Treatment (MCSTART) ages 0 to 5, reduced by $282,804; and MCSTART ages 6 to 11, reduced by $111,206. The goal of each program is to improve the child/youth/young adult’s mental health, functioning and well-being, and improve their family/caregiver’s parenting skills and ability to meet the developmental needs of their children.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV.B.) and a 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.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan initiative: 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one or more of the ten essential public health services, specifically: 7. Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel-Risk Management and Auditor-Controller have reviewed and approved this Amendment No. 4 as to legal form and fiscal provisions respectively.
FINANCING:
This Amendment No. 4 is funded by Federal Financial Participation (45%), EPSDT (32%), Mental Health Services Act Funds (22%), and Department of Social Services (1%) revenues. The funds for FY 2019-20 are included in the Health Department’s Behavioral Health Bureau (HEA012, Unit 8410) FY 2019-20 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: Alica Hendricks, Management Analyst III, 1295
Approved by: Elsa M. Jimenez, Director of Health, 4526
Attachment:
Amendment No. 4 is on file with the Clerk of the Board