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Agenda Item
ASR
Control 23-000749 |
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MEETING
DATE: |
04/23/24 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
2 |
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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: Contract for Early Identification
of Youth at Clinical High Risk for Psychosis
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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: N/A |
Current Year
Cost: N/A |
Annual Cost: FY 2024-25 $1,300,000 |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: No |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 4/25/2023 #21, 5/24/2022 #18,
10/5/2021 #S14B, 8/10/2021 #11 |
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RECOMMENDED
ACTION(S):
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1. |
Approve the
selection of and Contract with Charitable Ventures of Orange County for
provision of Early Identification of Youth at Clinical High Risk for
Psychosis, for the term of July 1, 2024, through June 30, 2026, for an amount
not to exceed $2,600,000, renewable for three additional one-year terms. |
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2. |
Pursuant to
Contract Policy Manual Section 3.4-114, authorize the County Procurement
Officer or Deputized designee to exercise a contingency contract cost
increase, not to exceed a total of 10 percent of the Contract amount for the
first year of the Contract, for the entire term of the Contract, including
renewals, and within the scope of work set forth in the Contract. The use of
this contingency contract cost increase is subject to approval requirements
established by the County Procurement Officer. |
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3. |
Authorize the
County Procurement Officer or Deputized designee to execute the Contract with
Charitable Ventures of Orange County, as referenced in the Recommended
Actions above. |
SUMMARY:
Approval of the selection of and
Contract with Charitable Ventures of Orange County will support the effective
identification, assessment, and treatment through care planning for youth ages
12 to 25 in Orange County who are at an increased risk for developing symptoms
of early psychosis spectrum disorders.
BACKGROUND
INFORMATION:
On February 11, 2020, your
Honorable Board of Supervisors (Board) approved the current Contract with
Charitable Ventures of Orange County (CV) for provision of Early Childhood and
Youth Mental Health Consultation (ECYMHC) Services. On October 5, 2021, Early
Psychosis Spectrum Consultation Services, also being provided by CV, was added
to the existing agreement via Amendment for provision of ECYMHC Services. See
Table 1 below for additional actions that were executed pursuant to appropriate
authorities. The current contract with CV will expire on June 30, 2024. Each of
the above services were solicited separately, and individual contracts awarded.
Table
1: Prior Board Actions:
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Board
Date |
Contract/Amendment
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Action
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Term
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February 11, 2020 |
Contract |
Board Approved Contract |
March 15, 2020, through June 30, 2022 |
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N/A |
Amendment No. 1, 2 |
Deputy Purchasing Agent (DPA) Delegated
Authority Administrative Revisions; Administrative Address Update, Budget
Modification |
May 11, 2020, through June 30, 2022 |
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August 10, 2021 |
Amendment No. 3 |
Board Approved Contract Increase and
Target Population Expansion |
July 28, 2021, through June 30, 2022 |
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October 05, 2021 |
Amendment No. 4 |
Board Approved Expanded Services |
September 29, 2021, through June 30,
2022 |
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N/A |
Amendment No. 5, 6 |
DPA Delegated Authority Administrative
Revisions; Budget Modification, Amended Facility Address and Staffing
Patterns |
January 10, 2021, through June 30, 2022 |
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May 24, 2022 |
Amendment No. 7 |
Board Approved Term Renewal |
July 1, 2022, through June 30, 2023 |
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N/A |
Amendment No. 8, 9 |
DPA Delegated Authority Administrative
Revisions; Budget Modification, Amended Service Hours and Staffing Patterns |
October 21, 2022, through June 30, 2023 |
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April 25, 2023 |
Amendment No. 10 |
Board Approved Term
Renewal |
July 1, 2023, through June 30, 2024 |
On October 12, 2023, the Health Care
Agency (HCA) released a Request for Proposal (RFP) in the County's online
bidding system to solicit proposals from qualified providers to provide Early
Identification of Youth at Clinical High Risk for Psychosis services. The RFP
included the County's intent to award a contract to a qualified provider whose
proposal was determined to be the most responsive to the requirements of the
RFP. Although the RFP was shared with all County online bidding system
registered users, few are able to meet the regulatory requirements to be able
to provide the solicited highly specialized services. HCA received one proposal
by the deadline of November 9, 2023; therefore, an evaluation panel was not
required. Program staff reviewed and deemed the proposal submitted by CV to be
responsive and qualified based on their experience and the services to be
provided. CV’s administrative offices are located in Santa Ana and Garden Grove
and outreach services are conducted throughout communities in Orange County.
HCA staff have conducted due diligence on
CV. Reference checks were satisfactory and completed with Children’s Hospital
of Orange, Anaheim Union High School District and Orangewood Foundation.
Scope
of Services
Early Identification of Youth at
Clinical High Risk for Psychosis (CHR-P) Services are provided by CV through
the Thrive Together Orange County (TTOC) program, which offers expertise in the
early identification, evaluation, prevention, and comprehensive treatment of
young people at risk for clinical psychosis. The services provided by TTOC will
build resilience and improve outcomes for individuals by offering mental health
assessments and evaluations that will focus on identifying those at high risk
for psychosis. Through social media campaigns, outreach, and training events,
TTOC will encourage widespread screening for clinical high-risk youth ages 12
through 25.
Consultation services will be
provided for families and to professionals working with individuals that are
assessed to be at risk for clinical psychosis. Additionally, TTOC offers
training for professionals related to early identification of psychosis and
psychosis risk. Outreach and education services are provided to groups
interested in learning more about the early risk stages of psychosis for youth
and how to facilitate early intervention and effective care. Linkages will be
made for individuals and families to available resources as identified by
assessment results and all families in need of additional resources will receive
referrals to appropriate community providers.
Surveys provided by HCA will be
administered at the conclusion of all TTOC trainings to measure the training’s
impact on increasing participant's behavioral health knowledge and skills in
regard to youth at CHR-P, and when and how to refer youth for screening.
Table 2: TTOC trainings shall achieve at a minimum the
following outcomes:
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Performance
Outcomes |
Outcomes
Goals FY
2022-23 |
Achieved Outcomes FY
2022-23 |
Proposed
Outcomes FY
2024-25 |
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Percent of attendees
will report an increase in ability to recognize youth who are at an increased
risk for developing symptoms of early psychosis spectrum disorders or may
currently be experiencing symptoms. |
85% |
78% |
85% |
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Percent of attendees
will report an increase in knowledge and awareness of resources for youth at
CHR-P and their families. |
85% |
80% |
85% |
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Percent of attendees
from healthcare providers, law enforcement, schools, and other community
supports will report an increase in ability to provide appropriate behavioral
health support of youth at CHR-P. |
80% |
80% |
80% |
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Percent of attendees
will report training equipped them with destigmatizing strategies. |
85% |
89% |
85% |
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Percent of attendees
will report an increase in knowledge of when and how to refer youth for
screening and/or treatment. |
85% |
86% |
85% |
HCA negotiated the following annual
performance goals to ensure the impact of the program on participants. See
Table 3 below for annual performance goals.
Table
3: Proposed Annual Performance Goals:
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Service Type
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Achieved
Performance Goals July
- Dec 2023 |
Proposed
Performance Goals FY
2024-25 |
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Number Completing
Primary Screening |
156 |
300 |
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Number of Brief
Assessments Completed |
34 |
75 |
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Number of Full
Assessments and Comprehensive Reports |
33 |
38 |
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Number of Referrals and
Linkages |
33 |
75 |
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Total Number of
Unduplicated Participants (for those that
complete an intake appointment) |
*N/A |
104 |
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Number of Family
Feedback Sessions |
N/A |
62 |
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Number of Provider
Consultation |
35 |
48 |
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Number of Trainings
Provided |
15 |
**12 |
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Number of Outreach
Activities |
54 |
**24 |
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Number of Case
Management Sessions |
33 |
104 |
* Previously,
"Unduplicated" was counted as a number completing Primary Screener.
**For FY 2024-25, we’re seeking a
more targeted approach to outreach to those who directly support services to
youth and young adults, as well as changing the focus from outreach and
education to the clinical service provided.
HCA now requests that the Board
approve the Contract with CV for provision of Early Identification of Youth at
Clinical High Risk for Psychosis Services, as referenced in the Recommended
Actions.
The Contractor's performance has
been confirmed as satisfactory. HCA has verified there are no concerns that
must be addressed with respect to Contractor's ownership/name, litigation
status or conflicts with County interests. The Orange County Preference Policy
is not applicable to this Contract award.
The proposed Contract with CV does
not include subcontractors. See Attachment B for Contract Summary Form.
HCA requests that the Board
authorize, pursuant to Contract Policy Manual Section 3.4-114, the County Procurement
Officer or Deputized designee to exercise a contingency contract cost increase,
not to exceed a total of 10 percent of the Contract in the amount for the first
year of the Contract, for the entire term of the Contract, including renewals,
and within the scope of work set forth in the Contract. The use of this
contingency contract increase is subject to approval requirements established
by the County Procurement Officer.
FINANCIAL
IMPACT:
Appropriations for the proposed Contract
will be included in Budget Control 042 FY 2024-25 Budget and will be included
in the budgeting process for future years.
As a result of
Proposition 1, the Mental Health Services Act (MHSA) will be repealed and
replaced with the Behavioral Health Services Act (BHSA), effective July 1,
2026. Proposition 1 requires a BHSA Integrated Plan to be developed in
accordance with newly enacted statute and Department of Health Care Services
guidelines. Existing MHSA component programs may not meet the criteria for
continuance under the BHSA guidelines. Should the Early Identification of Youth
at Clinical High Risk for Psychosis program be included in the BHSA Integrated
Plan, the scope of work will be updated to align with newly outlined
requirements.
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
ATTACHMENT(S):
Attachment
A - Contract MA-042-24010877 for Early Identification of Youth at Clinical High
Risk for Psychosis with Charitable Ventures of Orange County
Attachment B - Contract Summary Form
Attachment C - Individual Score Sheet