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Approve 5 Health and Social Services, Behavioral Health Division contracts for the period of September 1, 2024 through June 30, 2025: $1,925,836 with Bay Area Community Services to provide Full-Service Partnership (FSP) services to adults with severe mental health conditions; $2,548,306 with Felton Institute to provide outpatient and case management services to adults; $368,300 with Early Childhood Mental Health Program for Early and Periodic Screening Diagnosis and Treatment services to eligible children; $767,115 with Victor Community Support Services for intensive FSP services to youth with a severe mental illness; and $1,370,033 with Seneca Family of Agencies for the Transition Age Youth FSP program; Delegate authority to the County Administrator to execute the 5 contracts and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 each; and Approve an Appropriation Transfer Request in the amount of $1,941,468 to recognize appropriations and revenue in Fund 902 and 906 (4/5 vote required)
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services (H&SS) recommends that the Board of Supervisors approve 5 Health and Social Services, Behavioral Health Division contracts for the period of September 1, 2024 through June 30, 2025: $1,925,836 with Bay Area Community Services (BACS) to provide Full-Service Partnership (FSP) services to adults with severe mental health conditions; $2,548,306 with Felton Institute to provide outpatient and case management services to adults; $368,300 with Early Childhood Mental Health Program for Early and Periodic Screening Diagnosis and Treatment services to eligible children; $767,115 with Victor Community Support Services for intensive FSP services to youth with a severe mental illness; and $1,370,033 with Seneca Family of Agencies for the Transition Age Youth FSP program; Delegate authority to the County Administrator to execute the 5 contracts and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 each; and Approve an Appropriation Transfer Request in the amount of $1,941,468 to recognize appropriations and revenue in Fund 902 and 906 (4/5 vote required).
SUMMARY:
The five contracts provide services that deliver intensive mental health and case management services to eligible children, youth, and adults.
The FSP program provides intensive services to the highest level of outpatient services, which includes wraparound services to individuals with severe and persistent mental illness. FSP services are delivered by multidisciplinary teams that include a supervisor, clinicians, case managers, psychiatrists, peer specialists, and co-occurring specialists to support consumers in becoming more independent and integrated within the community.
The Full-Service Partnership (FSP) services are outlined in the Solano County Mental Health Services Act (MHSA) Three-Year Plan and annual updates.
Felton Institute will provide recovery-oriented outpatient and case management services to adults and the Early Childhood Mental Health Program will provide Early and Periodic Screening Diagnosis and Treatment (EPSDT) services to eligible children and their families.
FINANCIAL IMPACT:
The Full-Service Partnership (FSP) contracts with BACS, Victor Community Services, and Seneca are funded by the Mental Health Services Act, Community Services and Support (CSS) component for FY2024/25, as outlined in the MHSA Three Year Plan FY2023-2026, and Medi-Cal revenues generated. Medi-Cal and 2011 Realignment will fund the intensive outpatient/case management contracts with Early Childhood Mental Health Program and Felton Institute.
An ATR is needed to increase appropriations in the Department’s FY2024/25 Working Budget for Fund 902 and Fund 906 for these agreements (4/5 vote required). There is no impact on the County General Fund.
DISCUSSION:
In November 2004, California voters passed Proposition 63, also referred to as the Mental Health Services Act (MHSA), which imposed a one percent income tax on personal income in excess of $1 million to provide funding to support county mental health programs. There are five funding streams of MHSA, of which one is the Community Services and Supports (CSS) component. MHSA programs address a broad continuum of prevention, early intervention, and direct services, along with 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 is used to enhance the mental health service delivery system to provide treatment and recovery services for children and adults.
On September 12, 2023, the Board approved the Mental Health Services Act (MHSA) Three-Year Plan for FYs 2023/24 through 2025/26. The MHSA Three-Year Plan provides funding for the delivery of intensive FSP program services to youth and adults in Solano County.
On March 6, 2024, Solano County Behavioral Health Division released a Request for Proposal seeking the delivery of intensive specialty mental health services for children, youth and adults in Solano County. On May 28, 2024, Notices of Intent to Award were issued. BACS and Felton were selected as new providers, and for the Early Childhood Mental Health Program, Victor Community Support Services and Seneca Family of Agencies will be continuing providers.
With the Board’s approval of the contracts, Solano County Behavioral Health will expand Full-Service Partnership program services, to provide for case management, medication management and other behavioral health support services to individuals with moderate to severe mental illness. BACS will provide FSP program services to 100 adults, Victor Community Services will provide FSP program services to up to 30 youth, and Seneca Family of Agencies will continue to provide FSP services to up to 60 youth.
Additionally, the Early Childhood Mental Health Program will provide outpatient Early and Periodic Screening Diagnosis and Treatment (EPSDT) Medi-Cal services to up to 30 eligible children ages 0-5 and their families, and the Felton Institute will provide recovery-oriented outpatient and case management services to 200 adult clients.
The contracts will also address the required California Advancing and Innovating Medi-Cal (CalAIM) requirements, the transition of approximately 600 clients from Kaiser Permanente to Solano County Behavioral Health, and an increase in community members seeking services.
ALTERNATIVES:
The Board may choose to not approve one or more of the contracts. This action is not recommended as the services provided are included in the MHSA Three-Year Plan and provide critical services to populations served by H&SS, Behavioral Health.
OTHER AGENCY INVOLVEMENT:
The Solano County MHSA Three-Year Plan and Annual Updates are developed in collaboration with community members, which includes consumers, family members, county and community-based providers, law enforcement, local educational agencies, veterans, and faith-based organizations. The community, MHSA Steering Committee, and local Behavioral Health Advisory Board continue to endorse the funding of MHSA Community Services and Support programs and the expansion of specialty mental health services, as outlined in the RFP.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION