Agenda Item

AGENDA STAFF REPORT

 

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ASR Control 19-001344

 

MEETING DATE:

02/11/20

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

2

SUBMITTING Agency/Department:

Health Care Agency†† (Approved)

Department contact person(s):

Annette Mugrditchian (714) 834-5026

 

 

Jeff Nagel (714) 834-7024

 

 

Subject: Approve the Agreement for Early Childhood Mental Health Consultation Services

 

††††† ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

††† Budgeted: Yes

Current Year Cost: $280,603

Annual Cost: FY 2020-21 $859,698
FY 2021-22 $859,698

 

 

 

††† Staffing Impact:

No

# of Positions:

Sole Source: No

††† Current Fiscal Year Revenue: N/A

Funding Source: State: 100% (Mental Health Services Act/Prop 63)

County Audit in last 3 years: No

 

 

††† Prior Board Action: 05/21/2019 #33

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the selection of and Agreement with Charitable Ventures Orange County for provision of Early Childhood Mental Health Consultation Services, for the term of March 15, 2020, through June 30, 2022, for a total maximum obligation not to exceed $1,999,999, renewable for two additional one-year terms.

 

2.

Pursuant to Contract Policy Manual Section 3.4-114, authorize the Health Care Agency Director or designee to exercise a contingency contract cost increase, not to exceed a total of 10 percent of the agreement amount for the first full year of the agreement, for the entire term of the agreement, including renewals, and within the scope of work set forth in the agreement. The use of this contingency contract cost increase is subject to approval requirements established by the County Procurement Officer.

 

3.

Authorize the Health Care Agency Director, or designee, to execute the Agreement as referenced in the Recommended Actions above.

 

 

 

 

SUMMARY:

 

Approval of the selection of and Agreement with Charitable Ventures Orange County for provision of Early Childhood Mental Health Consultation Services will help Orange County providers effectively manage the challenging behaviors exhibited by infants and pre-school children in early childhood settings.

 

 

 

BACKGROUND INFORMATION:

 

On May 21, 2019, as part of the Mental Health Services Act (MHSA) Annual Plan Update for FY 2019-20, your Honorable Board of Supervisors (Board) approved the development of a Prevention and Early Intervention (PEI) program focusing on the needs of early childcare providers serving infants and young children, particularly those who exhibit challenging behaviors and are at risk of mental illness. These services are consistent with PEI regulations established by the state's Mental Health Services and Oversight Accountability Commission whereby counties are required to use PEI funds to: 1) combat stigma associated with mental illness and/or the seeking of mental health services, 2) promote awareness around mental health issues and available services and 3) encourage and support timely access to needed mental health services.

 

The Health Care Agency (HCA) released a Request for Proposals (RFP) for Early Childhood Mental Health Consultation (ECMHC) Services on September 16, 2019, via BidSync. The RFP was open for 21 days and was sent to 7,712 potential bidders. Only one proposal was received, from Charitable Ventures Orange County. An evaluation panel consisting of one HCA representative and two non-HCA representative(s) evaluated the proposal and recommended award of the agreement to Charitable Ventures Orange County.

 

HCA staff conducted due diligence on the vendor. Reference checks were satisfactory and completed with Orange County Department of Education, Soy y Luna Nature Preschool and Orange County Social Services Agency regarding similar projects.

 

ECMHC Services are designed to improve the mental health outcomes of young developing children, infant to five years old, particularly those exhibiting challenging behaviors in early childhood and education (ECE) settings as these children are expelled at three times the rate of school children in K-12 grades. The services are intended to educate and build knowledge of early childhood educators throughout Orange County so that they are able to: 1) promote social and emotional development of young children in order to prevent challenging behaviors, 2) provide appropriate support for those children exhibiting ongoing challenging behaviors and 3) support the development of healthy identities in young children throughout Orange County.

 

Scope of Services

ECMHC are new services that seek to support and provide consultation to providers in the early childcare settings in Orange County. ECMHC services will include mental health consultation, training, education, coaching and support services to increase the knowledge of early childcare providers. Services will be available to any provider in ECE settings such as licensed and licensed exempt childcare centers, family and faith-based childcare programs, non-state or non-federally funded ECE programs.

 

ECMHC services will be provided for a period of three to six months, utilizing evidence-based practices. Mental health consultants will, at a minimum, possess a masterís degree in mental health or early childhood development and have competencies in infant and early childhood mental health consultation models. A mental health consultant will be paired with each ECE provider staff for practice-based individual coaching, training and feedback. Training will be offered on site, at community based organizations, as well as online and will cover a variety of topics including trauma-informed practices, adverse childhood experiences, topics related to social and emotional skills development, screening and assessment, challenging behaviors and available community resources. Linkages to behavioral health services will be made when necessary. Charitable Ventures Orange County will conduct outreach to ECE providers, school districts, the Regional Center of Orange County and other organizations who intersect with ECE providers throughout Orange County.

 

Performance Standards

Performance of this program will be measured by tracking annual units of services. HCA has negotiated the following annual units of services to ensure a Countywide impact over three years as measured by the performance outcome goals below. See Table One for annual units of service.

 

Table 1: Units of Service

 

Service Category

Annual Units of Service

Childcare sites served

100

ECE provider staff trained

Minimum of 250 staff

Number of children impacted

Minimum of 2,500 children

 

Performance Outcomes: Program performance outcomes for the proposed Agreement will be collected through pre-post-surveys, consultation logs, and assessment tools and demonstrate the following:

 

         ECE provider staff will demonstrate increase in ability to manage challenging behaviors in young children.

         ECE providers will report fewer children who engage in ongoing, persistent challenging behaviors.

         Children with challenging behaviors will demonstrate an increase in pro-social behaviors, a decrease in challenging behaviors and greater engagement in tasks/activities.

 

The Agreement includes a subcontractor. See Attachment B for information regarding subcontractor and Contract Summary Form.

 

Pursuant to Contract Policy Manual Section 3.4-114, authorize HCA Director or designee to exercise a contingency contract cost increase, not to exceed a total of 10 percent of the agreement amount for the first full year of the agreement, for the entire term of the agreement, including renewals, and within the scope of work set forth in the agreement. The use of this contingency contract cost increase is subject to approval requirements established by the County Procurement Officer.

 

HCA requests that the Board approve the selection of and the Agreement for provision of ECMHC Services with Charitable Ventures Orange County as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Agreement are included in Budget Control 042 FY 2019-20 Budget and will be included in the budgeting process for future years.

 

Should services need to be reduced or terminated due to lack of funding, the Agreement contains language that allows HCA to give a 30-day notice to either terminate or renegotiate the level of services to be provided. The notice will allow HCA adequate time to transition or terminate services to clients, if necessary.

 

 

 

STAFFING IMPACT:

 

N/A

 

 

ATTACHMENT(S):

 

Attachment A - Agreement for Provision of Early Childhood Mental Health Consultation Services
Attachment B - Contract Summary
Attachment C - RFP Scoring Summary Table
Attachment D - Individual Score Sheet