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Agenda Item
ASR
Control 23-000852 |
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MEETING
DATE: |
02/27/24 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
1,
2, 3, 5 |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Annette
Mugrditchian (714) 834-5026 |
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Veronica
Kelley (714) 834-7024 |
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Subject: Amendments and Contract for
Behavioral Health Bridge Housing Services
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Discussion |
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3
Votes Board Majority |
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Budgeted: Yes |
Current Year
Cost: $4,746,021 |
Annual Cost: FY 2024-25 $8,124,437 |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: Yes |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 9/26/2023 #40, 7/18/2023 #12, 5/9/2023
#18, 4/25/2023 #33 |
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RECOMMENDED
ACTION(S):
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1. |
Approve Amendment No. 1 to the Contract
with Grandma’s House of Hope for provision of Homeless Bridge Housing
Services, increasing amount not to exceed by $4,551,203 for a revised
cumulative contract amount not to exceed $9,970,241, effective upon Board
approval through June 30, 2026. |
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2. |
Approve Amendment No. 1 to the Contract
with Friendship Shelter, Inc. for provision of Homeless Bridge Housing
Services, increasing amount not to exceed by $2,526,709, for a revised
cumulative contract amount not to exceed $3,831,603, effective upon Board approval
through June 30, 2026. |
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3. |
Approve Amendment No. 7 to the Contract
with Project Kinship for provision of Re-Entry Success Center Services,
increasing amount not to exceed by $1,019,840, for a revised cumulative
contract amount not to exceed $18,354,355, effective upon Board approval
through June 30, 2025. |
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4. |
Approve Memorandum of Understanding with
City of Costa Mesa to pass through Behavioral Health Bridge Housing grant
funds for provision of Behavioral Health Bridge Housing Services, effective
March 27, 2024, through June 30, 2026, for an amount not to exceed
$3,555,128, renewable for one additional one-year term. |
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5. |
Approve the selection of and sole source
Contract with Kingdom Causes, Inc. dba City Net for provision of Behavioral
Health Bridge Housing Services, for the term of March 27, 2024, through June
30, 2026, in an amount not to exceed $8,610,984, renewable for one additional
one-year term. |
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6. |
Authorize the County Procurement Officer
or Deputized designee to execute the Amendments with Grandma's House of Hope,
Friendship Shelter, Inc., and Project Kinship, and to execute the Contract
with Kingdom Causes, Inc. dba City Net, as referenced in the Recommended
Actions above. |
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7. |
Authorize the
Health Care Agency Director or designee to execute the Memorandum of
Understanding with City of Costa Mesa, as referenced in the Recommended
Action above. |
SUMMARY:
Approval of the Amendments with
Grandma’s House of Hope, Friendship Shelter, Inc. and Project Kinship,
Memorandum of Understanding with City of Costa Mesa and Contract with Kingdom
Causes, Inc. dba City Net, will provide Behavioral Health Bridge Housing
Services to individuals and families experiencing homelessness who have serious
behavioral health conditions including access to bridge housing and supportive
services to address their disabling conditions and barriers to housing.
BACKGROUND
INFORMATION:
On April 25, 2023, your Honorable
Board of Supervisors (Board) approved the Health Care Agency (HCA) to submit a
grant application to California Department of Health Care Services (DHCS) for
the Behavioral Health Bridge Housing (BHBH) grant. On September 26, 2023, the
Board authorized HCA to accept the BHBH grant in the amount of $31.6 million to
create, expand and/or improve bridge housing services in Orange County. HCA
Mental Health and Recovery Services (MHRS) shared information on the grant
funding opportunity with contracted providers, board and care facilities, local
homeless shelters, city officials and others with the goal to increase access
to bridge housing beds in Orange County and ensure clients receive supportive
and navigation services that will help them secure permanent housing.
The primary focus of BHBH is to
help people experiencing homelessness who have serious behavioral health
conditions that prevent them from accessing help and affecting their
homelessness, with a primary focus on Community Assistance, Recovery, and
Empowerment (CARE) Court clients. At least 75 percent of the BHBH funds must be
used for the costs of operating bridge housing that utilizes best practices
such as Housing First and Harm Reduction.
The Board approved the Contracts
with Grandma's House of Hope and Friendship Shelter, Inc., for provision of
Homeless Bridge Housing Services, which is currently in its first year of the
current contract. The Board approved the Contract with Project Kinship for
provision of Re-Entry Success Center Services, which is currently in its second
year of the current contract. Below are the previous Board actions that were
executed pursuant to appropriate authorities. All other Amendments not listed
were executed pursuant to Deputy Purchasing Agent delegated authority.
Prior
Board Actions
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Board
Date |
Contract/Amendment |
Action |
Term |
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February
7, 2023 |
Re-Entry
Success Center Services Contract |
Board
Approved Contract with Charitable Ventures of Orange County, Inc., and
Authorization of Consent to Assignment to Project Kinship |
March
7, 2023 - June 30, 2025 |
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April
25, 2023 |
Grant
eForm for BHBH Funding |
Board
Approved Grant Application |
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May
9, 2023 |
Homeless
Bridge Housing Contract |
Board
Approved Contract with Grandma's House of Hope and Friendship Shelter, Inc. |
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July
18, 2023 |
Re-Entry
Success Center Services Amendment No. 2 |
Board
Approved Contract Increase with Project Kinship |
March
7, 2023 - June 30, 2025 |
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September
26, 2023 |
Grant
eForm for BHBH Funding |
Board
Approve to Accept Funds |
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The proposed Contract with Kingdom
Causes, Inc, dba City Net (City Net) is a Sole Source Contract due to the BHBH
grant requirement for quick and sustainable implementation of new bridge
housing beds in Orange County (County) and to provide housing navigation
services to all new beds through the BHBH grant funding. Agencies presently
under contract with HCA either lacked the capacity to incorporate BHBH beds or
were ineligible to enter into contracts with HCA due to the grant requirements.
Additionally, identifying beds in the south region of Orange County was
difficult and City Net was able to provide both BHBH beds and housing
navigation, specifically in the south region of the County, to create an
equitable BHBH implementation plan. City Net will also provide housing
navigation for Project Kinship in support of the BHBH grant requirements.
Scope
of Services
BHBH will provide bridge housing
and supportive services for individuals experiencing both homelessness and
serious behavioral health conditions, including a serious mental illness and/or
substance use disorder. Housing navigation is an integral part of the BHBH and
aids with identifying housing options, resources and housing support services.
Housing navigators will work with BHBH participants to assist them in finding,
moving in and retaining affordable housing, including developing individualized
housing and service plans as well as connecting participants to the Coordinated
Entry System (CES). BHBH is required to
utilize Housing First principles and provide voluntary supportive services.
Section 5982(b) to the Welfare and Institutions Code stipulates that CARE
Program participants be prioritized for any appropriate bridge housing funded
by the BHBH. The Participants are not required to be linked to services and
projects must support access to medication assisted treatment (MAT) and
psychotropic medications for the treatment of mental disorders.
The BHBH funding will create
additional beds to existing contracts as well as allow for new beds to be created
through new contracts and Memorandum of Understanding (MOU) to be executed. The
following metrics outlines the existing beds, new beds and where they will be
located.
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Provider |
Budget |
Number
of Current Beds |
Number
of New Beds |
Projected
Number of New beds by Cities |
Total
Beds |
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Grandma’s
House of Hope |
$4,551,732 |
36 |
32 |
32 Anaheim |
68 |
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Friendship
Shelter, Inc. |
$2,526,709 |
10 |
20 |
20 Irvine/Costa Mesa |
30 |
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Project
Kinship |
$1,019,840 |
0 |
15 |
5 Garden Grove 7 Santa Ana 3 Anaheim |
15 |
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City
of Costa Mesa |
$3,555,128 |
0 |
15 |
15 Costa Mesa |
15 |
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City
Net |
$9,346,286 |
0 |
40 |
20 Anaheim 10 Costa Mesa 10 Irvine/Dana Point |
40 |
Immediate implementation of the
BHBH through the Contract will allow HCA to address the immediate and
sustainable housing needs of people experiencing homelessness who have serious
behavioral health conditions. The total award from DHCS is completely budgeted
and allocated through the use of County personnel and with the Contracted
Providers through current contract terms and renewals. The BHBH services were
not part of the competitive solicitation for the current contracts and expands
the current contracts scope of work to meet the BHBH grant requirements. The
amendments will be expanding the target population to include individuals with
severe mental illness (SMI) and/or substance use disorder (SUD) who are
experiencing homelessness, with a priority to serve CARE Court participants.
The BHBH services incorporate the requirement that all services must be
voluntary, and abstinence from alcohol or other substances cannot be a
prerequisite, must support access to medication assisted treatment (MAT) and
psychotropic medications for the treatment of mental disorders.
The BHBH services will operate in
accordance with the County of Orange’s Standards of Care for Emergency Shelter
Providers (Standards of Care). The Standards of Care provide a comprehensive
set of administrative, operational, and facility-based standards designed to
support the quality and consistency of program operations, evidence-based
participant services, core organizational, and administrative functions, and
facility design/operations.
HCA works collaboratively with the
contractors and approves a Good Neighbor Policy that is included wherein
contractor provides services to County residents and the services may have a
potential impact on the surrounding neighborhood(s) including but not limited to
environment, safety, and congregation. HCA has not received any negative
feedback from the community and will continue to work with the contractors and
the community to ensure positive community relations.
The agreed upon Scopes of Work and
Services outlined in each contractor’s Contract are in alignment with the
Outreach and Supportive Services and Shelter Pillars best practices, guiding
principles and commitments as detailed in the Homeless Service System Pillar
Report. HCA and Grandma’s House of Hope, Friendship Shelter, Inc., Project
Kinship, City of Costa Mesa and City Net will work to implement the principles
and commitments of the Outreach and Supportive Services Pillar and the Shelter
Pillar as applicable.
Performance
Outcomes
The following performance outcome metrics
will be implemented for the BHBH funding.
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Performance Outcome Metrics |
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Total Projected Bed Count: 122/ Total
Projected Bed days: 3,585 |
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90% of Participants will have an
Individualized Housing and Service Plan within 60 calendar days of program
enrollment. |
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90% of Participants will be connected to
the CES within 60 calendar days of program enrollment. |
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50% of Participants will transition to a
permanent housing destination within two years of program enrollment. |
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90% of Participants will report increase
in life well-being and life satisfaction within 12 months of program
enrollment (measured by the HMIS Status Update/Annual Assessment Form). |
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90% of Participants will increase
independent living skills within 12 months of program enrollment. |
Approval will continue to support
the County's effort to build a responsive System of Care that meets the needs
of individuals experiencing homelessness by providing access to bridge housing
and supportive services that support achieving permanent housing.
The Contractors' performances have
been confirmed as satisfactory with no identified issues. HCA has verified
there are no concerns that must be addressed with respect to Contractors'
ownership/name, litigation status or conflicts with County interests. The
Orange County Preference Policy is not applicable to the Amendments, proposed
Contract and MOU.
Contracts with Grandma’s House of Hope,
Project Kinship and the MOU with the City of Costa Mesa includes
subcontractors. See Attachment I for information regarding subcontractors and
Contract Summary Forms.
HCA requests the Board approve the
Amendments for BHBH with Grandma's House of Hope, Friendship Shelter, Inc. and
Project Kinship, MOU with City of Costa Mesa and the Contract with City Net, as
referenced in the Recommended Actions.
FINANCIAL
IMPACT:
Appropriations for these Contracts
are included in Budget Control 042 FY 2023-24 Budget and will be included in
the budgeting process for future years.
The proposed Contract includes
provisions allowing HCA to terminate the Contract, reduce the level of
services, and/or renegotiate the levels of services provided, as necessary.
This includes a notice that allows HCA adequate time to transition or terminate
services to clients, if necessary.
STAFFING
IMPACT:
N/A
REVIEWING
AGENCIES:
Office
of Care Coordination
ATTACHMENT(S):
Attachment
A – Amendment No. 1 to MA-042-23011144 for Homeless Bridge Housing Services
with Grandma's House of Hope
Attachment B – Amendment No. 1 to MA-042-23010864 for Homeless Bridge Housing
Services with Friendship Shelter, Inc.
Attachment C – Amendment No. 7 to MA-042-23010693 for Re-Entry Success Center
Services with Project Kinship
Attachment D – Contract MA-042-24010840 for Behavioral Health Bridge Housing
Services with Kingdom Causes, Inc. dba City Net
Attachment E – Memorandum of Understanding MA-042-24010836 with City of Costa
Mesa
Attachment F – Redline to Attachment A
Attachment G – Redline to Attachment B
Attachment H – Redline to Attachment C
Attachment I – Contract Summary Forms