File #: A 15-059    Name: Amend. #4 to A-12493 Interim, Inc.
Type: BoS Agreement Status: Passed
File created: 3/20/2015 In control: Board of Supervisors
On agenda: 4/7/2015 Final action: 4/7/2015
Title: Approve delegation of authority to the Director of Health to execute Amendment No. 4 to the Mental Health Services Agreement A-12493 with Interim, Incorporated for housing, residential treatment, homeless outreach and engagement, and supported education and employment services for adults with serious mental illnesses. Amendment No. 4 increases the current Agreement amount of $22,103,674 by $163,393 in FY 2014-15 and $1,194,266 in FY 2015-16 for a new total Agreement amount not to exceed $23,461,333.
Sponsors: Ray Bullick
Attachments: 1. Board Report Amend 4 Interim.pdf, 2. Interim Inc Amend #4.pdf, 3. Amendment #3 FY 14-15 Interim Inc 052814.pdf, 4. Amendment No 2 FY 13-14 Interim Inc. 03 12 2014.pdf, 5. Amend #1 Interim Inc FY 13-14.pdf, 6. Interim Inc Agmt #12493 FY 13-14 thru FY 15-16.pdf, 7. Completed Board Order, 8. Fully Executed Agreement between the County of Monterey and Interim, Inc.
Title
Approve delegation of authority to the Director of Health to execute Amendment No. 4 to the Mental Health Services Agreement A-12493 with Interim, Incorporated for housing, residential treatment, homeless outreach and engagement, and supported education and employment services for adults with serious mental illnesses.  Amendment No. 4 increases the current Agreement amount of $22,103,674 by $163,393 in FY 2014-15 and $1,194,266 in FY 2015-16 for a new total Agreement amount not to exceed $23,461,333.
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve delegation of authority to the Director of Health to execute Amendment No. 4 to the Mental Health Services Agreement A-12493 with Interim, Incorporated for housing, residential treatment, homeless outreach and support, and supported education and employment services for adults with serious mental illnesses.  Amendment No. 4 increases the current Agreement amount of $22,103,674 by $163,393 in FY 2014-15 and $1,194,266 in FY 2015-16 for a new total Agreement amount not to exceed $23,461,333.
 
SUMMARY/DISCUSSION:
Monterey County has contracted with Interim, Incorporated for many years to provide residential treatment programs, supportive housing, and community-based activities that provide normalizing experiences for individuals age 18 and older with serious mental illnesses.  The proposed Amendment No. 4 will provide funding for clinical quality assurance and data analysis activities as recommended by the County, and Wellness Navigators, who are persons with lived experience and are employed by Interim, Inc. on a part time basis.  Wellness Navigators will provide peer mentorship to individuals recently hospitalized for a psychiatric emergency, in order to assure timely follow-up services by County adult system of care clinicians.
 
This work supports the following Monterey County Health Department 2011-2015 strategic plan initiatives: enhance community health and safety by emphasizing prevention; and 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:  inform, educate, and empower people about health issues.
 
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:
County Counsel and the Auditor-Controller have reviewed Amendment No. 4 as to legal form and fiscal provisions respectively. A copy of Amendment No. 4 to Agreement A-12493 is on file with the Clerk of the Board.
 
FINANCING:
This Agreement is funded by Federal Financial Participation (37%), Realignment (36%), Mental Health Services Act (26%), and federal grant funds (1%).  The funds for this Agreement are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2014-15 Adopted Budget, and the FY 2015-16 Requested Budget.
 
Prepared by:   Alica Hendricks, Management Analyst, 1295      
Approved by: Ray Bullick, Director of Health, 4526
 
Attachment:
Amendment No. 4 to Agreement A-12493 is on file with Clerk of the Board
Amendment No. 3 to Agreement A-12493 is on file with Clerk of the Board
Amendment No. 2 to Agreement A-12493 is on file with Clerk of the Board
Amendment No. 1 to Agreement A-12493 is on file with Clerk of the Board
Agreement A-12493 is on file with Clerk of the Board