title
Approve a second contract amendment with Caminar, Inc. for $94,139 for a total contract amount of $1,913,699 for the Homeless Outreach Motivation and Engagement Full Service Partnership program for the current period through June 30, 2024, and Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999
body
Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services recommends that the Board of Supervisors approve a second contract amendment with Caminar, Inc. for $94,139 for a total contract amount of $1,913,699 for the Homeless Outreach Motivation and Engagement Full Service Partnership program for the current period through June 30, 2024; and delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999.
SUMMARY:
On June 28, 2022, the Board approved a contract with Caminar, Inc. for $909,780 for the Homeless Outreach Motivation and Engagement (HOME) Full-Service Partnership (FSP) program for the period of July 1, 2022 through June 30, 2023. The HOME FSP program delivers intensive mental health and case management services to eligible adults and older adults who meet FSP-level criteria and are currently at risk of or have recently been at risk of hospitalization, involvement with the criminal justice system, incarceration, homelessness, or are part of an unserved/underserved population.
On August 8, 2023, the Board approved a first contract amendment with Caminar, Inc. to increase the contract by $909,780 and extend the contract through June 30, 2024, to continue the HOME FSP program.
This second amendment increases the contract by $94,139 for a total contract amount of $1,913,699 to support the continued delivery of FSP-level services by a multidisciplinary team that includes supervisors, clinicians, case managers, psychiatrists, peer specialists, and co-occurring specialists who help support HOME consumers in becoming more independent and integrated within the community.
The FSP services are outlined in the Solano County Mental Health Services Act (MHSA) Three-Year Plan and annual updates.
FINANCIAL IMPACT:
The Caminar, Inc. contract and amendments are funded with MHSA Community Services and Supports (CSS) revenue and Short Doyle Medi-Cal revenues (federal financial participation). Approval of this second amendment does not impact the County General Fund.
DISCUSSION:
In November 2004, California voters passed Proposition 63, also called the Mental Health Services Act (MHSA), which imposed a one percent income tax on personal income over $1 million to provide funding to support county mental health programs. There are five funding streams of MHSA, including the Community Services and Supports (CSS) component. MHSA programs address a broad continuum of prevention, early intervention, direct services, and the necessary infrastructure, technology, and training elements to effectively support the mental health system. Counties administer the MHSA programs and are required to create and implement, with the local community input, three-year plans that are updated annually. The CSS funding component enhances the mental health service delivery system to provide treatment and recovery services for children and adults.
On September 12, 2023, the Board of Supervisors approved the Mental Health Services Act (MHSA) Three-Year Plan for Solano County for FY2023/24 through FY2025/26. The MHSA Three-Year Plan provides funding for the delivery of intensive FSP programming services for youth and adults in Solano County, which is a required element of MHSA. The FSP programs have shown successful outcomes, including exceeding goals related to preventing hospitalization, incarceration, and homelessness with high employment and school enrollment rates. According to FY2022/23, MHSA Annual Report data, Caminar, Inc.’s HOME program served 62 unhoused individuals. Of those individuals, only 3% experienced incarceration, 8% experienced an episode of homelessness, 30% were able to step down to lower-level services, and 88% were enrolled in school or employed. According to the MHSA Three-Year Plan, Caminar Inc.’s HOME program is estimated to serve 76 individuals in FY2023/24.
Additionally, in March 2024, California voters passed Proposition 1, a ballot measure to overhaul MHSA and how the state cares for people with serious mental illness. Counties will now be required to invest 30% of the revenue received from the imposed one percent income tax on personal income over $1 million into housing programs, with half of the funding targeted toward individuals who are chronically unhoused. While Proposition 1 is not effective until July 1, 2026, H&SS, Behavioral Health Division, will begin the community planning process in FY2025/26, which is required to develop Solano County Mental Health Services Act (MHSA) Three-Year Plans.
ALTERNATIVES:
The Board may not approve the contract amendment with Caminar, Inc. This is not recommended as it would prevent the County from providing the services outlined in the MHSA Three-Year Plan to provide intensive mental health services. Additionally, the FSP services delivered through the HOME program are necessary to stabilize and treat individuals experiencing severe mental illness and who have recently been at risk or are at risk of the following: hospitalization, homelessness, involvement in the criminal justice system, incarceration, or are part of an unserved/underserved population.
OTHER AGENCY INVOLVEMENT:
The Solano County MHSA Three-Year Plan for FY2023/24 through FY2025/26, and subsequent updates, have been developed in collaboration with community stakeholders, including consumers, family members, County and community-based providers, law enforcement, local educational agencies, veterans, and faith-based organizations. Community stakeholders, the MHSA Steering Committee, and the local Mental Health Advisory Board endorsed continuing to fund the FSP programs.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION