COMPLETED BOARD ORDER�"��44
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No: A 11516
a. Approve and authorize the Contracts/Purchasing Officer to sign Amendment No.
1 to Agreement A-11516 with Harmony at Home for the provision of counseling
services to elementary school-aged children who have been exposed to domestic
violence, Amendment No. 1 extends the term from June 30, 2010 through June
30, 2011 and adds $75,000 for a revised total amount not to exceed $150,000;
and
b. Authorize the Contracts/Purchasing Officer to approve future amendments up to
ten percent 10%) of the annual amount, which does not significantly alter the
scope of work or result in an increase in net county contribution.
Upon motion of Supervisor Potter, seconded by Supervisor Armenta, and carried by those
members present, the Board hereby:
a. Approved and authorized the Contracts/Purchasing Officer to sign Amendment No. 1 to
Agreement A- 11516 with Harmony at Home for the provision of counseling services to
elementary school-aged children who have been exposed to domestic violence, Amendment
No. 1 extends the term from June 30, 2010 through June 30, 2011 and adds $75,000 for a
revised total amount not to exceed $150,000; and
b. Authorized the Contracts/Purchasing Officer to approve future amendments up to ten percent
10%) of the annual amount, which does not significantly alter the scope of work or result in
an increase in net county contribution.
PASSED AND ADOPTED this 27th day of July, 2010, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in
the minutes thereof of Minute Book 75 for the meeting on July 27, 2010.
Dated: July 28, 2010 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
By
Deputy
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SIGNED BOARD REPORTX��"��MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: July 27, 2010 Consent AGENDA NO.:
SUBJECT: a. Approve and authorize the Contracts/Purchasing Officer to sign Amendment No. 1
to Agreement A-11516 with Harmony at Home for the provision of counseling
services to elementary school-aged children who have been exposed to domestic
violence. Amendment No. 1 extends the term from June 30, 2010 to June 30, 2011
and adds $75,000 for a revised total amount not to exceed $150,000; and
b. Authorize the Contracts/Purchasing Officer to approve future amendments up to
ten percent 10%) of the annual amount, which does not significantly alter the
scope of work or result in an increase in net county contribution.
DEPARTMENT: Health Behavioral Health Bureau
RECOMMENDATION
It is recommended that the Board of Supervisors:
a. Approve and authorize the Contracts/Purchasing Officer to sign Amendment No. 1 to Agreement A-
11516 with Harmony at Home for the provision of counseling services to elementary school-aged
children who have been exposed to domestic violence. Amendment No. 1 extends the term from
June 30, 2010 to June 30, 2011 and adds $75,000 for a revised total amount not to exceed $150,000;
and
b. Authorize the Contracts/Purchasing Officer to approve future amendments up to ten percent 10%) of
the annual amount, which does not significantly alter the scope of work or result in an increase in net
county contribution.
SUMMARY/DISCUSSION
Harmony at Home HAH) establishes and conducts programs that teach healthy communication within
families to end the cycle of violence and abuse. HAH provides school-based domestic violence
counseling services to elementary school-aged children in the Alisal and Salinas Unified Elementary
School Districts, which have been determined to have the highest need and service disparities. These
services address the emotional trauma and related issues of children who have witnessed and/or
experienced violence. The program is included in Monterey County's Mental Health Services Act
Prevention and Early Intervention Plan.
This Amendment No. 1 will assure continuation of the program for one additional fiscal year for a
revised maximum total Agreement amount of $150,000 for the period August 1, 2009 through June 30,
2011.
This Agreement contains the County's standard 30-day no cause" 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. Should the funding be reduced or terminated, Behavioral Health Bureau will
implement a plan to terminate this Agreement as needed.
OTHER AGENCY INVOLVEMENT
The County Counsel, Auditor-Controller and Risk Management have reviewed this Amendment No. 1
and concur. The Amendment is on file with the Clerk of the Board.
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SIGNED BOARD REPORTX��"��FINANCING
This Agreement is funded by Mental Health Services Act funds. The funds for this Agreement are included in
the Health Department's Behavioral Health HEA002) Unit 8073 Fiscal Year 2010-11 Adopted Budget.
Approval of this action has no impact to the Net County Contribution. This Amendment No. 1 is brought
before the Board for approval with the understanding that realignment funding has been proposed for reduction
in the State's Budget May Revise. Should the funding be reduced or terminated, Behavioral Health will
implement a plan to transition consumers receiving services as required and/or terminate this Agreement as
needed.
Prepared by:
ATi"ca Hendricks, 796-1295 6bo C. Egnew
Management Analyst III Intefim Director of Health
Li P z
Date
7// V,
Da
l"
cc: Charles J. McKee, County Counsel
Michael Miller, Auditor-Controller
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AGREEMENT NO. A-11516 - HARMO��
AMENDMENT No. 1 TO AGREEMENT A-11516
This Amendment No. 1 to Agreement A-11516 is made and entered into by and between
the County of Monterey, hereinafter referred to as COUNTY, and Harmony at Home,
hereinafter referred to as CONTRACTOR.
This Amendment No. 1 modifies the Mental Health Services Agreement as specified
below.
1. Amend Section IV TERM AND TERMINATION, Paragraph A, Term, to read as
follows: This Agreement shall be effective August 1, 2009 and shall remain in effect until June
30, 2011.
2. EXHIBIT A-1 replaces EXHIBIT A. All references in the Agreement to EXHIBIT A
shall be construed to refer to EXHIBIT A-1.
3. EXHIBIT B-1 replaces EXHIBIT B. All references in the Agreement to EXHIBIT B
shall be construed to refer to EXHIBIT B-1.
4. EXHIBIT H-1 replaces EXHIBIT H. All references in the Agreement to EXHIBIT H
shall be construed to refer to EXHIBIT H-l.
5. All other terms and conditions of Agreement A-11516 shall remain in full force and
effect.
Harmony At Home
Amendment No. I to Agreement A-11516
FY 2010-11
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AGREEMENT NO. A-11516 - HARMO��
IN WITNESS WHEREOF, County and CONTRACTOR have executed this Amendment No. 1 to
Agreement A-11516 as of the day and year written below.
COUNTY OF MONTEREY HARMO AT HOME
By: By:
Contracts/Purchasing Officer
Signature.of Chair, President or Vice President*)
Date: 4 1-110
Date:
APPROVED AS TO LEGAL FORM:
By:
Date: 10
APPROVED AS TO LIABILITY PROVISIONS:
Date:
By:
Deputy County CouMel o Signature of Secretary, CFO, or Asst. Treagu-er
Risk Management
Date:
APPROVED A O CONTENT:
By:
Date:
yne Cldrk, Behavioral Health Director
zt D a
*INSTRUCTIONS: If CONTRACTOR is a corporation, including limited liability and nonprofit corporations, the full legal name of the
corporation shall be set forth above together with signatures of two specified officers. If CONTRACTOR is a partnership, the name of the
partnership shall be set forth above together with the signature of a partner who has authority to execute this Agreement on behalf of the
partnership. If CONTRACTOR is contracting in an individual capacity, the individual shall set forth the name of the business, if any, and shall
personally sign the Agreement.
Harmony At Home
Amendment No. I to Agreement A-11516
FY2010-11
2
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AGREEMENT NO. A-11516 - HARMO��
EXHIBIT A-1:
PROGRAM DESCRIPTION
1. IDENTIFICATION OF CONTRACTOR
Harmony At Home
3785 Via Nona Marie #300
Carmel, CA 93923
Incorporation Status: Non- profit
Type of Program: School-based
Type of License(s): Marriage Family Therapist MFT), Licensed Clinical Social
Worker LCSW), & Pupil Personnel Services Interns, supervised
by MFT's & LCSW's
II. POPULATION OF FOCUS
Monterey County Elementary and Middle school-aged children who suffer from trauma
and related issues due to exposure to domestic and other violence.
III. PROGRAM DESCRIPTION
A. The Prevention and Early Intervention PEI) Component of Mental Health Services
Act MHSA) funds prevention and early intervention programs in Monterey County.
Under PEI guidelines, funded programs must be geared to serve the priority
populations as defined by the State Department of Mental Health, which are included
in Monterey County's approved PEI Plan as follows:
Un-served and Underserved Cultural Populations
Trauma Exposed Individuals
Children and Youth at Risk of Juvenile Justice Involvement
Children and Youth in Stressed Families
B. The School-Based Domestic Violence Counseling Program shall address the
emotional trauma and related issues of children who have witnessed violence. This
PEI program shall be delivered by the CONTRACTOR working in a non-traditional
mental health setting to reduce the stigma that children may otherwise face as a result
of having to endure the effects having been a witness of violence. Psychosocial
educational counseling or brief therapy in a group setting or individual basis will be
provided to help prevent the development of serious emotional disturbance in the
future.
Harmony At Home 3
Amendment No. Ito Agreement A-11516
FY2010-II
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AGREEMENT NO. A-11516 - HARMO��
ti
C Harmony At Home HAH) Sticks & Stones School-Based Counseling Program is a
prevention program for children exposed to violence and trauma in Monterey County.
HAH's mission is to establish and conduct programs that teach healthy
communication within families and end the cycle of violence and abuse in families.
IV. SCOPE OF WORK
A CONTRACTOR shall provide domestic violence counseling services on school
grounds and at an offsite location as it is deemed necessary, to address the
emotional trauma and related issues of children who have witnessed violence.
B CONTRACTOR shall work with parents/caregivers initially to obtain their
authorization to serve their child and will also provide parents/caregivers with
tools to help create a home environment that will foster a child's healthy
psychological and emotional development.
C CONTRACTOR shall meet with parents/caregivers to assess and refer them to
conflict resolution skills in the provision of mental health services to trauma-
exposed children and their parents/caregivers.
D CONTRACTOR shall address domestic violence issues from the perspective of
trauma-exposed children who are living in stressed families and are at risk of
school failure or juvenile justice involvement.
E CONTRACTOR shall develop partnerships with Monterey County elementary
schools, Monterey County Behavioral Health Division, local community based
organizations and develop a referral system.
F CONTRACTOR shall identify additional program resources that can be
leveraged, such as in-kind contributions.
G CONTRACTOR shall participate in planning for sustainability of the program in
collaboration with key Behavioral Health staff and the PEI Coordinator.
H CONTRACTOR shall assure services are planned, provided and evaluated using
practices that demonstrate the core values of the Mental Health Services Act, i.e.
culturally and linguistically competent; consumer and family driven; integrated
and coordinated service experience; wellness and recovery focused; strength-
based and resiliency-building; timely and accessible.
I CONTRACTOR shall provide services to a minimum of 120 children each fiscal
year.
J CONTRACTOR shall provide expanded domestic violence counseling services to
the public elementary schools in the Alisal and Salinas Unified Elementary
School Districts. CONTRACTOR shall provide school-based domestic violence
counseling to children in the Alisal and Salinas Unified Elementary School
Harmony At Home 4
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FY 2010-11
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AGREEMENT NO. A-11516 - HARMO��
Districts based on highest need, service disparities and student demographics
determining that the students to be served are members of an underserved cultural
population. Underserved cultural populations is defined by the Department of
Mental Health as those who are unlikely to seek help from any traditional
mental health service either because of stigma, lack of knowledge, or other
barriers such as members of ethnically/racially diverse communities, members of
gay, lesbian, bisexual, transgender communities, etc., that seek non-traditional
mental health services).
K CONTRACTOR shall provide the Alisal and Salinas Unified Elementary School
Districts with the following:
Three 3) ten 10) week School-based Domestic Violence Counseling
program series over a thirty-four 34) week term. In each ten 10) week
counseling program series a minimum of four 4) children shall be served.
The fourth program series consists of the Parent Education and Family
Support services over the eleven 11) month contract term.
L CONTRACTOR shall assign a licensed clinician or qualified intern/trainee to
each of the elementary schools being served.
M CONTRACTOR shall provide assessments determining the service needs of each
referral, and provide referrals to other services as needed.
N CONTRACTOR shall establish a support group for students based on teacher or
parent referral at each of the elementary schools being served.
V. PROGRAM GOALS
A To reduce stigma regarding domestic violence, mental illness and those who
access mental health services
B To improve child and family functioning
C To assess psychosocial needs and provision of brief early intervention counseling
on an individual and/or family basis
D To promote parent involvement in meeting their child's academic, social and
psychological needs
E To provide community resource information and referrals for children and
families requiring additional mental health. services
F To prevent the future development of serious emotional disturbance and/or
serious mental illness
VI. REPORTING REQUIREMENTS
Harmony At Home 5
Amendment No. 1 to Agreement A-11516
FY 2010-11
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AGREEMENT NO. A-11516 - HARMO��
A CONTRACTOR shall meet regularly with the designated Behavioral Health
Service Manager to monitor progress on client and program outcomes.
B CONTRACTOR shall report outcomes data regularly to Monterey County Health
Department-Behavioral Health Division MCHD-BHD) according to the
parameters identified in the Logic Model" as well as the reporting requirements
as set forth by the State Department of Mental Health DMH). See Exhibit H-1.
C CONTRACTOR shall submit to the COUNTY service logs on a quarterly basis.
D CONTRACTOR shall prepare and submit quarterly progress reports consisting of
program outcomes achieved and other information as requested by the COUNTY.
E CONTRACTOR shall provide participant demographic data on a quarterly basis,
and as requested by COUNTY and outlined in Exhibit H-1: Logic Model,
Problems, Objectives, Goals, Strategies, & Activities."
F MCHD-BHD shall provide to the CONTRACTOR. the reporting requirements,
forms and instructions as required by DMH and the MCHD-BHD.
Harmony At Home 6
Amendment No. Ito Agreement A-11516
FY 2010-I1
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AGREEMENT NO. A-11516 - HARMO��
EXHIBIT B-1:
PRIOR AUTHORIZATION AND PAYMENT PROVISIONS
1. PAYMENT TYPE
Negotiated contract amount.
II. PAYMENT CONDITIONS
A In order to receive any payment under this Agreement, CONTRACTOR
shall submit reports and claims in such form as may be required by the
County of Monterey, Department of Health, Behavioral Health Division.
Specifically, CONTRACTOR shall submit its claims on a form acceptable
to COUNTY so as to reach the Behavioral Health Division no later than
the 30th day of the month following the month of service. Upon
termination of this Agreement, CONTRACTOR shall submit its final
claim for payment no later than thirty 30) days after the completion of
services.
B If CONTRACTOR fails to submit claims for services provided under the
term of this Agreement as described above, the COUNTY may, at its sole
discretion, deny payment for that month of service and disallow the claim.
C COUNTY shall review and certify CONTRACTOR's claim either in the
requested amount or in such other amount as COUNTY approves in
conformity with this Agreement, and shall then submit such certified
claim to the COUNTY Auditor. The County Auditor-Controller shall pay
the amount certified within thirty 30) days of receiving the certified
invoice.
D If COUNTY certifies payment at a lesser amount than the amount
requested COUNTY shall immediately notify the CONTRACTOR in
writing of such certification and shall specify the reason for it. If the
CONTRACTOR desires to contest the certification, the CONTRACTOR
must submit a written notice of protest to the COUNTY within twenty
20) days after the CONTRACTOR's receipt of the COUNTY notice. The
parties shall thereafter promptly meet to review the dispute and resolve it
on a mutually acceptable basis. No court action may be taken on such a
dispute until the parties have met and attempted to resolve the dispute in
person.
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AGREEMENT NO. A-11516 - HARMO��
III. MAXIMUM OBLIGATION OF COUNTY
Subject to the limitations set forth herein, COUNTY shall pay to CONTRACTOR
during the term of this Agreement a maximum amount of $150,000.00 for
services rendered under this Agreement.
FY 2010-11 FY 2010-11 Total
Description Number of Monthly Annual
Service Months Rate Amount
School-Based 10 $6,712.80 $67,128
Counseling
Parent Education & 10 $787.20 $7,872
Family Support
Totals $8,324.64 $75,000
B Maximum Annual Liability:
FISCAL YEAR LIABILITY AMOUNT
August 1, 2009 to June 30, 2010 $ 75,000
July 1, 2010 to June 30, 2011 $75,000
TOTAL AGREEMENT MAXIMUM LIABILITY $ 150,000
C If, as of the date of signing this Agreement, CONTRACTOR has already received
payment from COUNTY for services rendered under this Agreement, such
amount shall be deemed to have been paid out under this Agreement and shall be
counted towards COUNTY's maximum liability under this Agreement.
D If for any reason this Agreement is canceled, COUNTY's maximum liability shall
be the total utilization to the date of cancellation not to exceed the maximum
amount listed above.
Harmony at Home 8
Amendment No. I to Agreement A-11516
FY 2010-11
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AGREEMENT NO. A-11516 - HARMO��
EXHIBIT H-1
Program Name: School-based Domestic Violence Program
Harmony at Home
Problem, Objective, Goal, Measures Data Source When
Strategies
& Activities Desired result
measured
Problem: Domestic violence that occurs in families of school age children leads to unhealthy psychological development in children.
Objective: School-age children who witnessed domestic violence will be better prepared to understand and cope with its effects and any
future occurrences.
Focus Population: School age children in selected unserved, underserved, or high risk areas.
Goal: Create healthier psychological development in Monterey County school age children who witness violence and trauma, and diminish
the associated stigma.
Strategy #1: In selected schools, provide a minimum of 120 to approximately 150 school-age children who witnessed domestic violence
with group counseling via MFT/MSW interns/trainees. Each 10-week session will serve a minimum of 4 children each, with a minimum of 3
sessions per school, in a minimum of 10 schools.
Therapy Practices: T # of group DV Program Report January 31 Group DV counseling
Sticks & Stones curriculum counseling sessions Sticks & Stones and July 31 sessions are conducted
T # of children Evaluation Matrix and with qualified therapists.
Provide therapy at schools in: demonstrate positive External Factors list 75% of children
Alisal Union School District behavioral change Child pre- and post- receiving violence
Salinas City School District program self-evaluation prevention counseling
graduate by at least one
Provide Services: level on the 5-level
In collaboration with MCOE, other Evaluation Matrix scale.
community partners 75% of children respond
positively to 8 out of 10
Client costs paid via: questions on the Sticks &
PEI grant and additional school Stones post-test
district grants
Harmony at Home
Amendment No. Ito Agreement A-11516
FY 2010-11
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Problem, Objective, Goal,
When
Measures Data Source
Desired result
Strategies, & Activities measured
Strategy #2: Provide family counseling sessions to children of greater need. Each 10-week individual family sessions will serve 6 families
with 3 sessions offered per year, occurring on Saturdays in neighborhood locations.
Therapy Practices: T # of family Program Records January 31 Family sessions are
Interactive Parent DV Education counseling sessions to Sticks & Stones Family and July 31 conducted with qualified
talk therapy, role playing, art therapy children deemed to be in Therapy Evaluation therapists.
need. At session midpoint,
Provide therapy at schools in: T # of families that gain 75% of parents score the
Neighborhood locations useful insights, overall usefulness of
information and family counseling sessions
Provide Services: techniques. as at least 4 on a 5-point
In collaboration with community scale.
partners
Client costs paid via:
PEI grant and matching school
Strategy #3: Provide referral to mental health services by MCBH or other service providers to children, families, or parents who have
experienced trauma via domestic or community violence.
Procedure: T # referrals to services Program Records January 31 Harmony at Home
Therapist determination of need for for children, families, or and July 31 therapists and staff are
referral to additional services. parents who demonstrate familiar with agencies that
need due to domestic or can provide more intense
community violence therapies and make
appropriate referrals.
Strategy #4: Conduct outreach and engagement activities with community groups or organizations to further promote the program and
availability of services. The activities will lead to partnerships that will increase referrals and participation families or parents of children
who have experienced trauma via domestic or community violence.
Harmony at Home 2
Amendment No. Ito Agreement A-11516
FY 2010-11
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AGREEMENT NO. A-11516 - HARMO��
Procedure: T # referrals to services Referral tracking records October 31 and CCA's Promotores de
Contact Promotores de Salud for families or parents of January 31 Salud are informed of
program with Center for Community children who therapy services available
Advocacy and offer training on demonstrate need due to through Harmony at
domestic violence. Domestic domestic or community Home and provide
violence training will equip violence referrals.
Promotores to identify the need for
services and make referrals.
Demographic Utilization Report: Race/ethnicity, age group and zip code.
Report demographics for school-age Demographic January 31 Timely report
children participants Reporting Form and July 31 submittal.
Harmony at Home 3
Amendment No. I to Agreement A-11516
FY 2010-11
BIB]
40388-U01
AGREEMENT-U02
NO.-U02
A-11516-U02
U02
HARMONY-U02
AT-U02
HOME-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO89518-U03
MG89556-U03
AS89582-U03
AS89584-U03
AI93503-U03
DO93937-U03
C5-U03
AGREEMENTS-U03
7/29/2010-U04
RIVASR-U04
15324-U05
13-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
CONTRACTS/PURCHASING-U07
OFFICER-U07
TO-U07
SIGN-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
AGREEMENT-U07
A-11516-U07
411-HEALTH-U08
MCKEE-U09
SUSIE-U09
MCKEES-U10
7/15/2010-U011
HARMONY-U012
AT-U012
HOME-U012
PROVISION-U012
OF-U012
COUNSELING-U012
SERVICES-U012
TO-U012
ELEMENTARY-U012
SCHOOL-AGED-U012
CHILDREN-U012
BEEN-U012
EXPOSED-U012
TO-U012
DOMESTIC-U012
VIOLENCE,-U012
AMENDMENT-U012
NO.-U012
1-U012
EXTENDS-U012
TERM-U012
JUNE-U012
30,-U012
2010-U012
THROUGH-U012
JUNE-U012
30,-U012
2011-U012
ADDS-U012
$75,000-U012
A-U012
REVISED-U012
TOTAL-U012
AMOUNT-U012
TO-U012
EXCEED-U012
$150,000;-U012
B.-U012
AUTHORIZE-U012
CONTRACTS/PURCHASING-U012
OFFICER-U012
TO-U012
APPROVE-U012
FUTURE-U012
AMENDMENTS-U012
UP-U012
TO-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ANNUAL-U012
AMOUNT,-U012
DOES-U012
SIGNIFICANTLY-U012
ALTER-U012
SCOPE-U012
OF-U012
WORK-U012
OR-U012
RESULT-U012
IN-U012
AN-U012
INCREASE-U012
IN-U012
NET-U012
COUNTY-U012
CONTRIBUTION.-U012