Agenda Item AGENDA STAFF REPORT ASR Control 23-000424
MEETING DATE:	05/23/23
legal entity taking action:	Board of Supervisors
board of supervisors district(s):	All Districts
SUBMITTING Agency/Department:	Health Care Agency (Approved)
Department contact person(s):	Annette Mugrditchian (714) 834-5026
	Veronica Kelley (714) 834-7024

Subject: Contract for Full Service Partnership/Wraparound Services for Youthful Offenders

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 2023-24 $7,204,240
FY 2024-25 $7,204,240
FY 2025-26 $7,204,240

Staffing Impact:

# of Positions:

Sole Source: No

Current Fiscal Year Revenue: N/A

Funding Source: State: 80% (Mental Health Services Act/Prop 63), Other: 20% (Federal Financial Participation Medi-Cal)	County Audit in last 3 years: No
Levine Act Review Completed: Yes

Prior Board Action: 5/24/2022 #25, 4/13/2021 #21, 5/22/2018 #26

RECOMMENDED ACTION(S):

Approve the selection of Contract with Waymakers for provision of Full Service Partnership/Wraparound Services for Youthful Offenders for the term of July 1, 2023, through June 30, 2026, for an amount not to exceed $21,612,720, renewable for one additional two-year term.

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 $720,424, 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 increase is subject to approval established by the County Procurement Officer.

Authorize the County Procurement Officer or Deputized designee to execute the Contract with Waymakers, as referenced in the Recommended Actions above.

SUMMARY:

Approval of the selection and Contract with Waymakers for provision of Full Service Partnership/Wraparound Services for Youthful Offenders will allow family-focused, client-centered services where individualized service plans are developed to address various areas of the client’s life to improve functioning.

BACKGROUND INFORMATION:

On May 22, 2018, your Honorable Board of Supervisors (Board) approved the prior Contract with Waymakers to provide Full Service Partnership/Wraparound Services for Youthful Offenders and Substance Abuse Services and the Contract expires June 30, 2023, the below actions have been executed pursuant to appropriate authorities.

Board Date	Contract / Amendment	Action	Term
May 22, 2018	Contract	Board Approved	July 1, 2018 – June 30, 2021
April 13, 2021	Amendment No. 3	Board Approved Term Renewal	July 1, 2021 – June 30, 2022
May 24, 2022	Amendment No. 4	Board Approved Term Renewal	July 1, 2022 – June 30, 2023

All Amendments between Board Approvals were executed under Deputy Purchasing delegated Authority.

On November 23, 2022, the Health Care Agency (HCA) released a Request for Proposal (RFP) in the County’s online bidding system to solicit proposals from qualified providers for the provision of Full Service Partnership/Wraparound (FSP/WRAP) Services for Youthful Offenders. The RFP included the County’s intent to award one contract to the qualified proponent whose proposal was determined to be the most responsive to the requirements of the RFP. HCA received two proposals by the deadline of December 21, 2022. HCA received proposals from Olive Crest and the incumbent, Waymakers. No protests were received.

Proposal Evaluation Process

A standard evaluation panel of three members was recruited to evaluate proposals received. Evaluation panel members independently rated the proposals using the following criteria and possible maximum points:

Evaluation Criteria	Maximum Points
Experience and Qualifications	10 points
Services	30 points
Performance Objectives	10 points
Staffing	15 points
Facility	15 points
Budget	10 points
Bidder Presentation	10 points
Total Maximum Points:	100 points

Proponent	Average Score
Waymakers	85.68
Olive Crest	75.47

The evaluation panel deemed the proposal submitted by Waymakers to be most qualified based on Waymakers experience and services to be provided.

HCA staff have conducted due diligence on Waymakers. Reference Checks were satisfactory and completed with Costa Mesa Police Department and Irvine Police Department. The Orange County Preference Policy is not applicable to this contract award.

Scope of Services

The Youthful Offender Wraparound (YOW) Full Service Partnership program was developed to serve children and transitional age youth residing in Orange County with current or past juvenile justice involvement, who are experiencing a Serious Emotional Disturbance or Serious Mental Illness. The program focuses on the strengths of the child, Transitional Age Youth (TAY) and their families across all life domains in order to promote success in safety, wellness and recovery through a “whatever-it-takes” approach. The YOW program supports client participation in and engagement with mental health services through targeted funding (referred to as “flex funding”) for items such as, but not limited to, basic living expenses, housing, employment, specialty treatments and transportation. YOW services include direct mental health care; medication support services; individual, group and family therapy; crisis intervention; case management and access to support services in the community. YOW focuses on supporting youth to maintain the positive changes made and skills gained while receiving rehabilitative services in custody and upon reintegrating the youth into the community after release from Juvenile Hall. Eligible youth are primarily referred to YOW by the Orange County Probation Department, Child Guidance Unit and the Collaborative Court programs. YOW will serve a minimum of 220 clients at any one time throughout the contract.

Performance Outcomes

YOW program uses state-mandated data fields to evaluate the effectiveness of the “whatever it takes” model in supporting the wellness, recovery and safety of its Full Service Partnership (FSP) clients. Program targets, newly established in 2022, are that at least 80 percent of FSP members served will remain safely in the community and do not require psychiatric hospitalization, remain out of custody, are not arrested and/or remain in shelter/housing. These are new targets, and the 80 percent benchmark will be refined as additional years of data are analyzed. The outcome data for FY 2020-21 and FY 2021-22 are as follows:

Performance Outcomes by Domain

The YOW program helped the majority of youth sustain recovery while receiving FSP services, as shown in the tables below. YOW demonstrated a less significant positive impact on Justice Involvement when compared with other FSP programs, which can be attributed to the target population of those individuals enrolled but have either historical or current Orange County juvenile justice involvement. The outcome data for FY 2020-21 and FY 2021-22 are as follows:

Clients Served	FY 2020-21	FY 2021-22
Total Clients Served in FY	299 clients	276 clients
Average Length of Stay *	419 days	467 days

* Average exceeds one year because some clients were enrolled in the FY prior to the FY being reported on

Justice Involvement While Enrolled in the FSP
Indicators of Sustained Recidivism	FY 2020-21		FY 2021-22
	# Youth	% of total Clients Served	# Youth	% of total Clients Served
No Arrests	225	75.2%	192	69.6%
Remained Out of Custody	193	64.6%	172	62.3%

Mental Health Recovery While Enrolled in the FSP
Indicators of Sustained Recovery	FY 2020-21		FY 2021-22
	# Youth	% of total Clients Served	# Youth	% of total Clients Served
Did Not Require an Emergency Intervention	285	95.3%	259	93.8%
Remained Safely Out of a Psychiatric Hospital	285	95.3%	263	95.3%

Shelter and Homelessness While Enrolled in the FSP
Indicators of Sustained Shelter	FY 20-2021		FY 20-2022
	# Youth	% of total Clients Served		# Youth	% of total Clients Served
Remained Sheltered	287	96.0%		262	94.9%
Did Not Use Emergency Shelter	276	92.3%		254	92.0%

Waymakers' performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to Waymakers' ownership/name, litigation status or conflicts with County interests.

This contract includes subcontractors. See Attachment B for information regarding subcontractors and Contract Summary Form.

HCA requests that that 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 in an amount not to exceed $720,424, 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 contingency provision would be exercised in the event there is an increase in the projected services needed for the clients being served.

HCA requests the Board approve the selection of and Contract with Waymakers for the provision of Full Service Partnership/Wraparound Services for Youthful Offenders, as referenced in the Recommended Actions.

FINANCIAL IMPACT:

Appropriations for this Contract will be 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

ATTACHMENT(S):

Attachment A - Contract MA-042-23011329 for Full Service Partnership/Wraparound Services for Youthful Offenders with Waymakers
Attachment B - Contract Summary Form
Attachment C - Scoring Summary