Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  21-000995

 

MEETING DATE:

05/24/22

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 

 

 

Veronica Kelley (714) 834-7024

 

 

Subject:  Renewal Amendment No. 4 for Full Service Partnership/Wrap 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: FY2022-23 $5,186,201

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source: No

    Current Fiscal Year Revenue: N/A

  Funding Source: State: 85% (Mental Health Services Act/Prop 63), Other: 15% (Federal Financial Participation Medi-Cal)

County Audit in last 3 years: No

 

 

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

 

RECOMMENDED ACTION(S):

 

 

1.

Approve Amendment No. 4 to renew the Contract with Waymakers for provision of Full Service Partnership Wraparound Services for Youthful Offenders for the term of July 1, 2022, through June 30, 2023, in an amount not to exceed $5,186,201, for a revised cumulative contract total amount not to exceed $26,057,905.

 

2.

Authorize the County Procurement Officer or Deputized designee, to execute Amendment No. 4 to the Contract with Waymakers, as referenced in the Recommended Action above.

 

 

 

 

SUMMARY:

 

Approval of Amendment No. 4 to renew the Contract with Waymakers for provision of Full Service Partnership Wraparound Services for Youthful Offenders will provide continued 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:

 

Your Honorable Board of Supervisors (Board) approved the Contract with Waymakers for provision of Full Service Partnership Wraparound (FSP/WRAP) Services for Youthful Offenders. The proposed renewal Amendment represents the second one-year renewal term of July 1, 2022, through June 30, 2023. Prior to the contract expiration, the department plans to issue a solicitation to continue services. The Orange County Preference Policy is not applicable to this contract as the provider is a not-for-profit organization.

 

Board Date

Contract / Amendment

Action

Term

May 22, 2018

Contract

Board Approved Contract

July 1, 2018 -

June 30, 2021

April 13, 2021

Amendment No.3

Board Approved Term Renewal

July 1, 2021  - June 30, 2022

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

 

Scope of Services

Waymakers Youthful Offender (YOW) Full Service Partnership Wraparound 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 goal of the YOW program is to effectively transition clients to lower levels of care by reintegrating them with supports and services in their community. FSP/WRAP programs are family-focused, client-centered programs where individualized, client-driven service plans are developed. YOW employs the FSP “whatever it takes” approach to provide intensive field based behavioral health services that include case management, individual/family/group therapy, medication support, peer support, housing coordination as well as education and employment support and guidance. In support of the “whatever it takes” approach, YOW utilizes funding to support the clients through targeted assistance related to, but not limited to, basic living expenses, housing, employment, specialty treatments and transportation.

 

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 and the Collaborative Court programs. Through the use of a multi-disciplinary team comprised of clinicians, service coordinators, career and education specialists, youth/peer mentors, wellness and recovery coordinators, and in collaboration with Probation Officers, YOW works with youth and their families to promote recovery, encourage empowerment, facilitate community integration and enhance resilience in the youth and their families.

 

Performance Outcomes

Performance outcomes for YOW are measured by state mandated outcome measures. YOW evaluated changes on outcomes related to days homeless, days psychiatrically hospitalized and days incarcerated by comparing functioning in the 12 months prior to enrolling in the FSP to function during the fiscal year being evaluated.

 

YOW, demonstrated a decrease in all areas for FY 2020-21. Of note, YOW demonstrated an increase in percent for both reduction in days homeless, and reduction in days psychiatrically hospitalized compared to the prior fiscal year. This was due to a higher number of pre-enrollment days homeless and hospitalized. Reduction in days incarcerated percentage, while still showing a decrease, was below what the program experienced the prior fiscal year.

Clients Served

Reduction In Days Homeless for those with days homeless prior to enrollment

Reduction In Days Psychiatrically Hospitalized for those with days psychiatrically hospitalized prior to enrollment

Reduction In Days Incarcerated for those with days incarcerated prior to enrollment

 

#

Pre Avg

Post Avg

% Decrease

Pre Avg

Post Avg

% Decrease

Pre Avg

Post Avg

% Decrease

FY 2019-20

262

44 days

12.1 days

65%

11.9 days

4.4 days

40%

85.6 days

18.2 days

79%

FY 2020-21

299

74.6 days

10.7 days

86%

19.4 days

1.9 days

90%

102.6 days

32.9 days

68%

 

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

 

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.

 

HCA requests the Board approve Amendment No. 4 with Waymakers for provision of Full Service Partnership/Wraparound Services for Youthful Offenders as, referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

Appropriations for this Amendment will be included in Budget Control 042 FY 2022-23 Budget.

 

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 - Amendment No. 4 to Contract MA-042-19010189 for Full Service Partnership/Wraparound Services for Youthful Offenders with Waymakers
Attachment B - Contract Summary Form
Attachment C - Redline to Attachment A