Agenda Item

AGENDA STAFF REPORT

 

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ASR Control 17-000202

 

MEETING DATE:

05/09/17

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

3

SUBMITTING Agency/Department:

Social Services Agency†† (Approved)

Department contact person(s):

Alyson Piguee (714) 245-6190

 

 

Karen Vu (714) 245-6028

 

 

Subject: Renewal of Agreement for High Needs Youth Residential Home Services

 

††††† ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

††† Budgeted: N/A

Current Year Cost: N/A

Annual Cost: FY 2017-18: $1,286,640

 

 

 

††† Staffing Impact:

No

# of Positions:

Sole Source: No

††† Current Fiscal Year Revenue: N/A

Funding Source: See Financial Impact Section

County Audit in last 3 years: No

 

 

††† Prior Board Action: 05/24/16 #84, 06/23/15 #71

 

RECOMMENDED ACTION(S):

 

Approve final renewal of Agreement with Rite of Passage, Adolescent Treatment Centers and Schools Incorporated for High Needs Youth Residential Homes Services at Tustin Family Campus with a maximum obligation of $1,286,640 for the period of July 1, 2017, through June 30, 2018, for a cumulative maximum obligation of $3,828,096 for the period of July 1, 2015, through June 30, 2018.

 

 

 

 

 

SUMMARY:

 

Approval of the final renewal with Rite of Passage, Adolescent Treatment Centers and Schools Incorporated will provide specialized treatment and services at the Tustin Family Campus for high need youth in the child welfare system.

 

 

BACKGROUND INFORMATION:

 

The Social Services Agency (SSA) is requesting the Orange County Board of Supervisorsí (Board) approval of the final one-year renewal of the Agreement with Rite of Passage, Adolescent Treatment Centers and Schools Incorporated (ROP) for High Needs Youth Residential Homes Services at the Tustin Family Campus (TFC) for the period of July 1, 2017, through June 30, 2018, for a maximum obligation of $1,286,640.This will be the second one-year renewal period and the third and final year of the contract.

 

On June 23, 2015, the Board approved a one-year agreement for High Needs Youth Residential Homes Services for the period of July 1, 2015, through June 30, 2016, with the option to renew for two additional one-year periods at the Countyís sole discretion.On May 24, 2016, the Board approved the second year renewal for High Needs Youth Residential Homes Services for the period of July 1, 2016, through June 30, 2017.†††††

 

The additional one-year renewal option with ROP will allow SSA time to finalize the redesign of the High Needs Youth Residential Homes Services program in order to ensure that the program will align with the goals, requirements and timeline as prescribed by Assembly Bill 403 (AB 403).On October 11, 2015, AB 403 was signed into law and codified recommendations contained in the report released by the California Department of Social Services (CDSS) entitled Californiaís Child Welfare Continuum of Care Reform (CCR).The goal of CCR is to improve the child welfare system through the elimination of long-term group home placements and increase the utilization of home-based care for foster children.

 

As a result of the passage of AB 403, all facilities licensed as group homes, including the High Needs Youth Residential Homes Services program are required to transition to a new type of facility called a Short-Term Residential Therapeutic Program (STRTP) by December 31, 2017, or December 31, 2018, with an extension granted by CDSS.STRTPs will provide short-term, specialized and intensive treatment to children whose needs cannot be safely met initially in a family setting.It was initially anticipated that the new High Needs Youth Program would be re-designed as an STRTP by July 1, 2017.However, STRTP requirements and rate levels have only recently been established by the State and require significant accreditations and licenses in order for an organization to be certified as an STRTP.The High Needs Youth program provider, ROP, has received an extension from CDSS to continue to operate as a group home provider through December 31, 2018.As such, in order to continue to serve this high needs population through a specialized program, SSA is recommending the final renewal of this agreement while the new program components are finalized.SSA continues to work with CDSS and the group home providers to ensure a timely and smooth transition to STRTPs.

The High Needs Youth Residential Homes Services program is designed to provide individualized and strength-based intensive treatment and support services to at-risk youths who are dependents of the Orange County Juvenile Court, ages 12 to 18 years; or non-minor dependents (NMDs), 18 years of age or until they have graduated from high school, with open cases with SSA.Residential treatment services are provided in two separate homes that can serve up to 12 dependent youth and/or NMDs.Dependent youth is defined under California Welfare and Institutions Code (WIC) Section 300 as any child who comes under subdivisions (a) through (j) of the juvenile court.A youth with dual status jurisdiction is defined pursuant to WIC Section 241.1, coming under both delinquency and dependency jurisdictions with SSA as the lead agency.NMDs are defined under WIC Section 11400(v)(1)(2)(3).†††

 

The High Needs Youth Residential Homes houses up to six males in one home and up to six females in the other.In order to achieve a home-like atmosphere and environment, this residential program is designed to utilize a houseparent model or 24 hours/seven days per week awake and on-duty staff model.The youth and NMDs served may have a history of child abuse, loss, trauma, multiple placement failures, significant behavioral and mental health needs, dual diagnosis, psychiatric hospitalizations and medication non-compliance.In addition, this population often has little or no family involvement or support, limited social and emotional coping skills and minimal motivation to plan for successful emancipation.The purpose of the program is to transition youth/NMDs to a lower level of care.††

 

These services align with the Safe Homes and Communities indicators in the 22ndAnnual Report on the Conditions of Children in Orange County.The County will pay the established and approved rate by the California Department of Social Services for the group home rate at the Rate Classification Level 12 (RCL-12).†††

 

This Agreement includes mutual termination provisions which were approved as to form by County Counsel.

 

Outcomes

Between January 1, 2016, and December 31, 2016, there were 22 total youth in the High Needs program. Ten of these youth exited the program during this period; seven exited to higher levels of care and three into lower levels of care.In the prior calendar year, only 23% of the youth that exited the ROP program stepped down into lower levels of care.Because of the high needs of this population, many of these youth had several placements at the Orangewood Children and Family Center and/or at another RCL-12 group home prior to their placement into this program.ROPís outcomes show that youth exit their ROP placement and transition to a lower level of care at a rate that is comparable to other group homes in Orange County.

 

Additionally, over the last two years, ROP has made significant, positive administrative and programmatic changes resulting in an improvement in the placement stability rate for this program.  While the ultimate goal is to transition these youth into lower levels of care, placement stability is a critical indicator for these high needs youth that the program is effectively meeting their needs.  For the period of January 1, 2016, through December 31, 2016, the average length of stay in the ROP program was six months, as compared to the prior period which was approximately three-and-a-half months, a significant improvement in placement stability for these youth.

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Agreement are included in the FY 2017-18 Requested Budget and will be included in the budgeting process for future years.††

 

This Agreement is funded by 26.8% federal, 56.2% state and 17% County General Fund.  Federal and state dollars are comprised of Title IV-E, 1991 Realignment and 2011 Realignment for the Foster Care Program.County General Funds will be used towards the required match to access federal and state funding.

Projected Funding by Program

Program

Projected Usage

Federal

State

County GF

Total

Foster Care

73.11%

$344,820

$377,074

$218,729

$940,623

Foster Care-1991 Realignment

26.89%

$0

$346,017

$0

$346,017

Total

 

$344,820

$723,091

$218,729

$1,286,640

Funding Ratio

100%

26.80%

56.20%

17.00%

100%

 

Contingency of Funds

The contractor is aware that funding or portions of funding for this Agreement may be contingent upon the state budget; receipt of funds from and/or obligation of funds by the federal government to the state and from the state to the County; and inclusion of sufficient funding for the services hereunder in the budget approved by the County's Board of Supervisors for each fiscal year covered by this Agreement.If such approval, funding, or appropriations are not forthcoming, or are otherwise limited, the Agreement in this agenda item contains language which permits the County to immediately terminate, reduce, or modify the Agreement without penalty.

 

 

 

STAFFING IMPACT:

 

N/A

 

ATTACHMENT(S):

 

Attachment A - Agreement CKV2717 for High Needs Youth Residential Homes Services
Attachment B - Redlined Agreement CKV2717
Attachment C - WIC Section 241.1
Attachment D - WIC Section 300††††††††††††††††††
Attachment E - WIC Section 11400