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Agenda Item
ASR
Control 12-000410 |
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MEETING DATE: |
05/08/12 |
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legal entity taking action: |
Board of Supervisors |
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board of supervisors
district(s): |
All Districts |
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SUBMITTING
Agency/Department: |
Health Care Agency
(Approved) |
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Department contact
person(s): |
Mary Hale (714) 834-7024 |
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Subject:
Agreements for Substance Use
Disorder Res Tx Svcs
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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:
N/A |
Annual Cost: |
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Staffing Impact: No |
# of Positions:
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Sole Source:
N/A |
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Current Fiscal Year Revenue: N/A |
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Funding Source: FED:
65% (Substance Abuse Prevention and Treatment BG, Federal Drug Court Grant),
State: 35% (Realignment: Drug Court Grants & Drug Medi-Cal, TSR),
Fees/Other: 8% (Federal Drug Medi-Cal) |
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Prior Board Action: 5/17/2011
#8; 5/24/2011 #55 |
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RECOMMENDED ACTION(S):
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1. |
Approve the Agreement with Southern California Alcohol and Drug Programs, Inc. for Provision of Perinatal Residential Substance Use Disorder Treatment Services with a maximum obligation of $1,384,917 for the period July 1, 2012 through June 30, 2013 and a maximum obligation of $1,384,917 for the period July 1, 2013 through June 30, 2014. |
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2. |
Approve the master Agreement for Provision of Post Custody Re-Entry Services with various providers with an aggregate maximum obligation of $364,983 for the period July 1, 2012 through June 30, 2013. |
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3. |
Without further Board action, authorize the Health Care Agency Director, or designee, to exercise a contingency contract funding increase of the maximum obligation of the master Agreement for Provision of Post Custody Re-Entry Services not to exceed a total of ten percent of the contract maximum obligation and within the scope of work set forth in the contract. |
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4. |
Authorize the Health Care Agency Director, or designee, on behalf of the Board of Supervisors, to execute the Agreement with Southern California Alcohol and Drug Programs, Inc. for Provision of Perinatal Residential Substance Use Disorder Treatment Services. |
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5. |
Authorize the Health Care Agency Director, or designee, on behalf of the Board of Supervisors, to execute the Agreements for Provision of Post Custody Re-Entry Services with various providers. |
SUMMARY:
The Health Care Agency requests approval of the Agreement with Southern California Alcohol and Drug Programs, Inc., for Provision of Perinatal Residential Substance Use Disorder Treatment Services and the master Agreement for Provision of Post Custody Re-Entry Services with various providers.
BACKGROUND INFORMATION:
Perinatal
Residential Services:
The Health Care Agency (HCA) currently contracts with Southern California Alcohol and Drug Program, Inc., (SCADPI) to provide perinatal residential substance use disorder treatment.
Services under this Agreement include residential recovery; assessment and evaluation; individual, group and family counseling; methadone maintenance services for select participants; prenatal care, health education; services for those with co-occurring mental illness and substance use disorders; facilitate medical appointments; case management; relapse prevention; life and parenting skills, General Education Diploma preparation, smoking cessation, linkage and referral services.
These residential services are provided at supervised, 24 hour facilities in alcohol and drug-free environments at two locations in North and South Orange County. Heritage House North is located in Anaheim and Heritage House South is located in Costa Mesa. Services provided are specifically designed to serve pregnant and parenting women with children. In addition to treatment for substance use disorders, services include reunification assistance, social worker, medical, court, and probation/parole collaborations to address the myriad of needs of this target population to achieve the best possible outcome at graduation and beyond.
These programs have adopted one or more Network for the Improvement of Addiction Treatment (NIATx) strategies to increase participant retention and admissions and/or to decrease no-shows and wait times. The anticipated outcomes of the Agreements are that participants demonstrate improvement as evidenced by the Client Evaluation of Self in Treatment (CEST). CEST measures and monitors participant needs and performance in treatment and gives HCA a benchmark to evaluate against national norms. In the most recently available data for FY2010-11, most achieved higher than the national norms.
Table below indicates the result of CEST for FY 2010-11:
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Location |
Average
Scores on Subscales |
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Desire for Help |
Treatment Readiness |
Counseling Rapport |
Treatment Participation |
Peer Support |
Social Support |
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Heritage House North Overall (n = 60) |
43.9 |
37.7 |
41.2 |
44.0 |
42.6 |
43.1 |
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Heritage House Costa Mesa Overall (n = 54) |
45.7 |
40.8 |
45.1 |
44.7 |
44.1 |
44.0 |
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National Norms |
39.9 |
38.8 |
40.0 |
40.9 |
36.7 |
39.5 |
The current Agreement will end on June 30, 2012 and the proposed Agreement will continue services through June 30, 2014. The maximum obligation and contracted services for FY 2012-13 and FY 2013-14 will remain level as those in FY 2011-12. The proposed Agreement is expected to serve 128 participants annually during FY 2012-13 and FY 2013-14.
Post Custody Re-Entry:
HCA currently contracts with California Hispanic Commission on Alcohol and Drug Abuse, Inc.; Cooper Fellowship, Inc.; Phoenix House Orange County Inc. and Villa Center, Inc. for provision of Post Custody Re-Entry Services under a Master Agreement. These Agreements offer residential treatment programs to adult male and female offenders in need of substance use disorder treatment and who have been released from custody. These programs include: 90-day Drug Court Post Custody Re-Entry services; and the 90-day Female Offender Treatment Program (FOTP). Clients are referred to an individual provider based on their specific need. Drug Court participants are released from local County jail and FOTP participants are released from prison and are on parole.
HCA is planning to continue to contract with the current four providers for Provision of Post Custody Re-Entry Services. The 90-Day Drug Court post custody re-entry program is expected to serve 40 participants and the FOTP program is expected to serve at least 21 participants during FY 2012-13. These programs have adopted one or more NIATx strategies to increase participant retention and admissions and/or to decrease no-shows and wait times. The anticipated outcomes of the Agreements are that programs will have similar or improved retention rates noted below. The retention rate is the percentage of clients that successfully remain in treatment and/or complete treatment during the year. During the period July 1, 2011 through February 29, 2012, the retention rates for the FOTP program was at 29% and 77% for the Drug Court Post Custody Re-Entry services. Although the retention rates appear to be somewhat lower, these rates are consistent with retention rates for programs serving parolees nationwide. Research from the National Institute for Drug Addiction has shown that the longer an individual remains in treatment the better their success in recovery.
The proposed Agreement for Perinatal Residential Substance Use Disorder Treatment Services will have a subcontract with an individual who will provide professional services that assist the contractor in carrying out the specific service obligations of the contract for an estimated annual amount of $4,800. The individual Agreements for Post Custody Re-Entry Services are not anticipated to have subcontracts.
In addition to the approval of the Agreement for Post Custody Re-Entry Services, HCA also requests that your Honorable Board authorize the Health Care Agency Director or designee, to amend, as needed, the Agreement's maximum obligation by an amount not to exceed 10 percent without further Board Action. The Drug Court funding frequently fluctuates as the grants come in at various times of the year.
The Health Care Agency requests that your Board approve the master Agreement for Provision of Perinatal Residential Substance Use Disorder Treatment Services and the Agreement for Provision of Post Custody Re-Entry Services as referenced in the Recommended Actions.
FINANCIAL IMPACT:
These Agreements are included in the Health Care Agency's FY 2012-13 Requested Budget and will be included in the budgeting process for FY 2013-14.
It is estimated that funding for Perinatal Residential Substance Use Disorder Treatment Services represents ten percent or less of the contractor’s total annual operating budget. The Post Custody Re-Entry Services Agreement will have multiple contractors that share an aggregate maximum funding obligation. Funding for these contractors will vary depending upon referrals and utilization of services. Should services need to be reduced or terminated due to lack of funding, the agreement contains language that allows Health Care Agency to give 30 days notice to either terminate or renegotiate the level of services to be provided. The notice will allow Health Care Agency adequate time to transition or terminate services to clients, if necessary. Health Care Agency staff has reviewed this contractors’ financial documentation, including their most recent financial statements. At this time there appears to be no issues that would impact the contractors’ ability to perform the services.
STAFFING IMPACT:
N/A
ATTACHMENT(S):
A. Agreement for Provision of Perinatal Residential
Substance Use Disorder Treatment Services with Southern California Alcohol and
Drug Programs, Inc.
B. Master Agreement for Provision of Post Custody Re-Entry Services
C. Redline Version to Attachment A
D. Redline Version to Attachment B