Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  10-001834

 

MEETING DATE:

06/07/11

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):

Mary Hale (714) 834-7024 

 

 

 

 

 

Subject:  Agreement for Promotora Program 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: N/A

Annual Cost:
FY 2011-12: $1,034,151
FY 2012-13: $510,714

 

 

 

    Staffing Impact: No

# of Positions:

Sole Source: No

    Current Fiscal Year Revenue: N/A

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

 

    Prior Board Action: N/A

 

RECOMMENDED ACTION(S):

 

Approve the selection of and the Agreement with Latino Center for Prevention and Action in Health Welfare dba Latino Health Access for provision of Promotora Program Services with a maximum obligation of $1,034,151 for the period July 1, 2011 through June 30, 2012, and a maximum obligation of $510,714 for the period July 1, 2012 through June 30, 2013, for a total maximum obligation of $1,544,865.

 

 

 

 

SUMMARY:

 

The Health Care Agency requests approval of the selection of and the Agreement with Latino Center for Prevention and Action in Health Welfare dba Latino Health Access for the provision of Promotora Program Services.

 

 

 

BACKGROUND INFORMATION:

 

On March 2, 2010, the Health Care Agency (HCA) issued a Request for Proposals (RFP) inviting all interested parties to submit proposals to provide Promotora Program Services. in accordance with the Mental Health Services Act of 2004 (Proposition 63).

 

A total of 4,960 organizations were notified of the RFP and HCA received a total of seven responsive proposals.

 

The evaluation panel composed of two HCA representatives and two Community representatives evaluated all proposals and have recommended Latino Center for Prevention and Action in Health Welfare dba Latino Health Access (LHA) for contract to provide the promotora services for the period of July 1, 2011 through June 30, 2013.

 

LHA has extensive experience in providing meaningful promotora services (health promoter) and other mental health services to the Orange County community.  They demonstrated the ability to impact hard to reach populations and articulated the desire and willingness to share their knowledge and skills by training other community-based organizations on how the model might work for their respective populations.

 

The promotora services use a trained community health educator approach to educate and provide resources to communities.  The goal is to raise awareness and increase knowledge about mental health issues, associated risk factors and protective factors and available community resources in Orange County.  The program will provide community and parenting education, skill development, support groups, and case management services for Orange County parents/caregivers of children and/or adolescents, especially those with signs and symptoms of emotional or behavioral challenges.  Additionally, individualized services will be offered to support parents/caregivers who have emotional or behavioral health issues while caring for their children and/or adolescents.  It is anticipated that the promotora program will serve over 16,000 community members for the term of the agreement.

 

Negotiations have been concluded to provide services in the amounts of $1,034,151 for the period July 1, 2011 through June 30, 2012; and $510,714 for the period July 1, 2012 through June 30, 2013; for a total maximum obligation of $1,544,865.  Funding for the period July 1, 2011 through June 30, 2012 includes start-up costs, in the amount of $53,381, for new staff trainings, equipment, and materials needed to support the new program.  Additional one-time funding will be provided for LHA to implement a community training component.  This training component entails the following: a) conduct seminars to educate and promote the promotora model training to community based organizations; b) recruit, select and train 250 staff from various community-based organizations on the practices and applications of the promotora model; and c) train a minimum of 15 managers from these organizations on how to recruit, train, and supervise promotoras.  The funding for the period July 1, 2012 through June 30, 2013 is decreased to reflect completion of the community-based training component, with no additional start-up or one-time funding.

 

The anticipated outcomes for this program will include increased participants' knowledge of parenting skills; increased community awareness of mental health issues and resources; and improved community services through training on the promotora model participants' satisfaction.  These outcomes will be measured by instruments such as pre and post surveys, evaluation forms, and questionnaires. 

 

LHA will subcontract with three individuals to provide staff training, supervision, consultation, and program evaluation support services, in the amount of $37,125 for the term of the agreement.

 

The Health Care Agency requests that your Honorable Board approve the selection of and the Agreement with Latino Center for Prevention and Action in Health Access dba Latino Health Access as referenced in the Recommended Action.

 

 

 

FINANCIAL IMPACT:

 

This Agreement is included in the Health Care Agency's FY 2011-12 Requested Budget and will be included in the budgeting process for FY 2012-13.

 

It is anticipated that funding for these services represent less than 10% of the provider's total annual operating budget.  Should services need to be reduced or terminated due to lack of funding, this 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 the contractor's financial documentation, including their most recent financial statements.  At this time there appears to be no issues that would impact the contractor's ability to perform the services.

 

 

 

STAFFING IMPACT:

 

N/A

 

 

 

EXHIBIT(S):

 

1. Synopsis of Proposals/Proposal Summaries
2. Evaluation Scores Summary

 

ATTACHMENT(S):

 

A. Agreement for Provision of Promotora Program Services between the County of Orange and Latino Center for Prevention and Action in Health and Welfare dba Latino Health Access