Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  19-001166

 

MEETING DATE:

12/17/19

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

3

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Annette Mugrditchian (714) 834-5026 

 

 

Jeff Nagel (714) 834-7024

 

 

Subject:  Amendment to the Collaborative Court Full Service Partnership Agreement

 

      ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: Yes

Current Year Cost: $455,107

Annual Cost: N/A

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source: No

    Current Fiscal Year Revenue: N/A

  Funding Source: State: 85% (MHSA), Fees/Other: 15% (FFP MediCal)

County Audit in last 3 years: No

 

 

    Prior Board Action: 06/06/2017 #34

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the Second Amendment to the Agreement with Telecare Corporation for provision of Collaborative Court Full Service Partnership Services, increasing funds by $455,107, from $2,703,933 to $3,159,040 for the period of January 1, 2020, through June 30, 2020, for a revised total amount not to exceed $8,759,625.

 

2.

Authorize the Health Care Agency Director, or designee, to execute the Second Amendment to the Agreement with Telecare Corporation, as referenced in the Recommended Action above.

 

 

 

 

SUMMARY:

 

Approval of the Second Amendment to the Agreement with Telecare Corporation for the Provision of Collaborative Court Full Service Partnership Services will provide additional mental health services to adults who have a severe and persistent mental illness and/or co-occurring disorder.

 

 

 

 

 

 

BACKGROUND INFORMATION:

 

On June 6, 2017, your Honorable Board of Supervisors (Board) approved the selection of and Agreement with Telecare Corporation (Telecare) for provision of Collaborative Court Full Service Partnership (FSP) Services for the period of July 1, 2017, through June 30, 2020. FSP services are community-based and recovery-focused, and include intensive case management, medication support, counseling and therapy, benefit acquisition, vocational and educational support, crisis intervention, linkage to primary care, transportation, housing support and access to staff for emergency needs 24 hours per day, seven days per week. Program services are provided in collaboration with the Court, Probation, Public Defender and District Attorney. The program serves individuals in Orange County, ages 18 and older, who have a serious mental illness and/or co-occurring substance use disorder and are referred by the Mental Health Collaborative Court.

 

 On April 1, 2019, the First Amendment, a contingency implementation, was exercised in the amount of $192,719 for the remaining months of Period Two (approximately 3 months) in order to serve an average daily volume of 135 individuals, an increase of 35 from Period One. This increase is due to a rise in referrals the Whatever It Takes Court saw, requiring HCA to amend the agreement to accommodate the additional referrals. The proposed Second Amendment will allow for funds to be added to Period Three so the program can continue to serve an average daily volume of 135 individuals through June 30, 2020.

 

The number of clients served and program outcomes for FY 2017-18 and FY 2018-19 are listed in the tables below. The outcomes are measured by a pre- and post-comparison of the number of days clients are impacted by these circumstances while enrolled in the program, and compared against the 12-month period immediately prior to enrollment. Overall, there was substantial decrease in hospitalization, incarceration and homelessness days, and substantial increase in employment days and number of members participating in educational activities.

 

Collaborative Court FSP

Clients Served

Employment Activities
(Days)

Educational Activities
(Clients)

 

 

Prior

Since

Percent

Change

Prior

Since

Percent

Change

FY 2017-18

193

4,753

18,851

297% increase

5

38

660% increase

FY 2018-19

170

3,724

17,535

371% increase

8

24

200% increase

 

Collaborative Court FSP

Hospitalization

Days

Incarceration

Days

Homelessness

Days

 

Prior

Since

 Percent

Change

Prior

Since

Percent Change

Prior

Since

Percent Change

FY 2017-18

1,313

474

64% decrease

25,287

2,515

90% decrease

20,278

61

99.6% decrease

FY 2018-19

1,359

185

86% decrease

24,482

5,533

77% decrease

16,257

0

100% decrease

 

The Contractor’s performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to Contractor’s ownership/name, litigation status or conflicts with County interests. The Agreement currently includes subcontractors. See Attachment B for information regarding subcontractors and Contract Summary Form.

 

HCA requests that the Board approve the Second Amendment to the Agreement for provision of Collaborative Court FSP Services with Telecare Corporation, as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Agreement are included in Budget Control 042 FY 2019-20 Budget.

 

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 - Second Amendment to the Agreement for Provision of Collaborative Court Full Service Partnership Services between County of Orange and Telecare Corporation
Attachment B - Contract Summary Form
Attachment C - Redline Version to Attachment A