administration - santa cruz county, californiasccounty01.co.santa-cruz.ca.us/bds/govstream2/... ·...
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County of Santa Cruz 0331
HEALTH SERVICES AGENCY
TELEPHONE: (831) 454-4000 FAX: (831) 454-4770 TOO: (831) 454-4123
HEALTH SERVICES AGENCYADMINISTRATION
AGENDA: June 12,2012
May 22,2012
BOARD OF SUPERVISORSCounty of Santa Cruz701 Ocean Street, Fifth FloorSanta Cruz, CA 95060
SUBJECT: Mental Health Contract Amendments
Dear Members of the Board:
The Health Services Agency (HSA) requests your Board's approval of amendments toagreements with the Santa Cruz Community Counseling Center (SCCCC) and theVolunteer Center of Santa Cruz County (Volunteer Center) for provision of mentalhealth services. The current fiscal year 2011-12 budget includes sufficient funding forthese two amendments and no new County general funds are required nor requested.
Santa Cruz Community Counseling Center, Inc. (SCCCC)
HSA Mental Health and Substance Abuse Services Division (MHSAS) has a long-standing contractual relationship with SCCCC for provision of mental health outpatienttreatment, vocational, and housing support services to adult and youth consumers ofthe Santa Cruz County Mental Health System.
The attached amendment allows for increased maximum reimbursement rates paid toSCCCC for the Crisis House and EI Dorado residential programs due to a statewideallowance increase of 2.4% not reflected in the original agreement and a decrease inoccupancy at the EI Dorado residential program. The amendment also increases theagreement by $50,000 for a new total contract amount of $6,969,872, to reflect anincrease in services provided under the Transitional Housing and Independent LivingProgram. This increase incorporates new Human Services Department match funding.
Volunteer Center of Santa Cruz County
HSA MHSAS also has a long-standing contractual relationship with the VolunteerCenter as a provider of mental health outpatient treatment, vocational, and housing
85
Mental Health Contract AmendmentsAgenda: June 12, 2012Page 2 of 2
0332
support services to adult and youth consumers of the Santa Cruz County Mental HealthSystem The amendment to this agreement decreases the contract amount by $13,473for a new total contract amount of $1,340,463, to reflect a State CALWORKs programfunding decrease.
No appropriations are needed within the current HSA budget to fund these amendmentsand no new County general funds are needed nor requested. Both agreements areanticipated to continue throughout FY 2012-13 and are allocated for in ProposedBudget Continuing Agreements List.
It is, therefore, RECOMMENDED that your Board:
1. Approve the attached amendment with the Santa Cruz CommunityCounseling Center, Inc., Contract 0129, to incorporate increased maximumreimbursement rates and increase the total contract maximum amount by$50,000 to $6,969,872, to reflect an increase in services provided under theTransitional Housing and Independent Living Program and authorize theHealth Services Agency Director to sign; and
2. Approve the attached amendment with the Volunteer Center of Santa CruzCounty, Contract 0205, to decrease the total contract maximum amount by$13,473 for a new amount of $1 ,340,463, to reflect a CALWORKs programfunding decrease; and authorize the Health Services Agency Director to sign.
Sincerely,
GiaSu~Health Services Agency Director
RECOMMENDED:
~ =JSusa AMrielloCounty Administrative Officer
Attachments: Contracts (2), ADM-29s (2)
cc: Santa Cruz Community Counseling Center
Volunteer Center of Santa Cruz County
8õ
0333COUNTY OF SANTA CRUZ
REQUEST FOR APPROVAL OF AGREEMENT
TO. FROM Health Services Agency
BY
(Department)
__.__ (Signature) 5/29/12 (Date)/reie:i,Jes are available
ice
AGREEMENT TYPE (Check One) Expenditure Agreement ~ ReVo:iu'~ Agreement 0
The Board of Supervisors is hereby requested to approve the attached agreement and authorize the executioi' d same.
1. Said agreement is between the Health Services Agency - Mental Health
and Volunteer Center of Santa Cruz, 1740 17th Ave., Santa Cruz, CA. 95062
.~ _(Department/Agency)
:_ (Name/Address)
2. The agreement will provide a variety of mental health services in the Community Con'lections progi.n
and Family Partnership program
3. Period of the agreement is from July 1, 2011 to June 30, 2012
4. Anticipated Cost Is $ 1,340,463 0 Fixed 0 Monthly Rate 0 Annual Rate ~ r te Exceed
Remarks Auditor: Please decrease encumbrance by $13,4734 per the attached schedule
5. Detail ~ On Continuing Agreements List for FY ~ -~ Page CC- 7 & 8 Contract. No: 0205o Section Ii No Board letter required. will be listed under Item 8~ Section III Board letter required
o Section IV Revenue Agreement
6. Appropriations/Revenues are available and are budgeted in 363210, 363117, 362950 (Index)
OR 0 1 st Time t. elnent
3638,3665 (Sub object,
NOTE: IF APPROPRIATIONS ARE INSUFFICIENT, ATTACHED COMPLETED AUD-74 OR AUD-60
ÇlAppropriations ~ available andare not will be
Contract No: EH 1 0205-01 ,-02,-03 .
~ ___ Date: S~(JL _Auditor-Controller eputy
Proposal and accounting detail reviewed and approved. It is recommended that the Board of Supervisors approve the agreement and authorize
Health Services Agency Director
Health Services Agency
(Dept/Agency Head) to execute on behalf of the
__ (Department/Agency)
Date:
Distribution:Board of Supervisors - WhiteAuditor Controller - CanaryAuditor-Controller - PinkDepartment - Gold
State of CaliforniaCounty of Santa CruzI ex-officio Clerk of the Board of Supervisors of the County of Santa Cruz,
State of California. do hereby certify that the foregoing request for approval of agreement was ap-proved by said Board of Supervisors as recommended by the County Administrative Office by anorder duly entered in the minutes of said Board on 20
ADM - 29 (8/01)Title I. Section 300 Proc Man By: Deputy Clerk
AUDITOR-CONTROLLER USE ONLY
CO
Document No.$
JE Amount Lines HITL Keyed By Date
TC110Auditor Description
$
Amount Index/Sub object User Code
3&
03! (,
Current New EncumbranceIndex Sobj Suffix Vendor Encumbrance Encumbrance Change
Amount Amount Needed
363210 3638 0205-01 Volunteer Center 1,052,887 1,039,414 -13,473363117 3638 0205-02 Volunteer Center 249,761 249,761 0362950 3665 0205-03 Volunteer Center 51,288 51,288 0
Total 1.353,936 1.340,463 -13,473
36
033)
Contract No. 0205Index Nos. 363210/363117/362950
Subobject Nos. 3638/3665
VOLUNTEER CENTER OF SANTA CRUZ
AMENDMENT No.1 to FY 2011-2012 AGREEMENT No. 0205
The parties hereto agree to amend that certain above agreement dated July 1 , 2011, bychanges as follows:
1. Coversheet
Decrease Suffix 01, Index 363210, amount by $13,473 for a new amount of $1,039,414.Decrease total contract amount by $13,473 for a new contract maximum of $1,340,463.
2. Exhibit B - Budget, Fiscal and Payment Provisions
Delete existing Exhibit B - Budget, Fiscal and Payment Provisions page 1 of 4 and page 2of 4 and replace with new attached Exhibit B - Budget, Fiscal and Payment Provisions page1 of 4 and page 2 of 4.
All other provisions of said Agreement, except those mentioned above, shall remain the same.
COUNTY OF SANTA CRUZ
Byar n Delaney, Executive Director
Volunteer Center of Santa Cruz1740 17th AvenueSanta Cruz, CA 95062
Health Services Agency
35
Exhibit B, 2011-2012033()
Contract No. 0205Amendment NO.1
COUNTY OF SANTA CRUZ
EXHIBIT B
BUDGET, FISCAL AND PAYMENT PROVISIONS
VOLUNTEER CENTER OF SANTA CRUZ
1. PAYMENT:
A. For fiscal year beginning July 1, 2011, COUNTY agrees to provide CONTRACTOR withmonthly advances as follows:
Part -01 $86,232 for the 2 months of July & August 2011
$90,754 for the month of September 2011
$87,741 for the 3 months of October through December 2011
$79,883 for the month of January 2012
$86,618 for the 5 months of February through June 2012
Part -02 $20,372 for the 2 months of July & August 2011
$21,700 for the month of September 2011
$20,813 for the 9 months of October 2011 through June 2012
B. In order to receive monthly advance payment, CONTRACTOR shall submit a claim in aform acceptable to COUNTY prior to the month of service. COUNTY shall expediteapproval and submission of such claim to the Auditor-Controller.
C. As pertains only to Part -03 of this Agreement, CONTRACTOR shall subm.it monthlyclaims for expenditures in arrears and may not request advance payments. COUNTYshall reimburse CONTRACTOR for services provided under Part -03 based on actualcosts expended by CONTRACTOR. CONTRACTOR shall invoice on the form and in themanner required by COUNTY not to exceed more than one invoice per month.
D. Total funding for the term of this Agreement (12 months) for all Parts is $1,340,463.
2. ADDITIONAL PROVISIONS:
Refer to Exhibit B1 of this Agreement for additional budget, fiscal, and payment provisions.
3&Page 1 of 4
Exhib_B_0205_A 1_ V1.doc
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Contract No. 0205I ndex Nos. 363210/363117/362950
Subobject Nos. 3638/36650:3.5 B
VOLUNTEER CENTER OF SANTA CRUZ
AMENDMENT No.1 to FY 2011-2012 AGREEMENT No. 0205
The parties hereto agree to amend that certain above agreement dated July 1, 2011, bychanges as follows:
1. Coversheet
Decrease Suffix 01, Index 363210, amount by $13,473 for a new amount of $1,039,414.Decrease total contract amount by $13,473 for a new contract maximum of $1,340,463.
2. Exhibit B - Budget, Fiscal and Payment Provisions
Delete existing Exhibit B - Budget, Fiscal and Payment Provisions page 1 of 4 and page 2of 4 and replace with new attached Exhibit B - Budget, Fiscal and Payment Provisions page1 of 4 and page 2 of 4.
All other provisions of said Agreement, except those mentioned above, shall remain the same.
COUNTY OF SANTA CRUZ
Byar n Delaney, Executive Director
Volunteer Center of Santa Cruz1740 17th AvenueSanta Cruz, CA 95062
Health Services Agency
äõ
Exhibit B, 2011-2012 Contract No. 0205Amendment No.1
03.59
COUNTY OF SANTA CRUZ
EXHIBIT B
BUDGET, FISCAL AND PAYMENT PROVISIONS
VOLUNTEER CENTER OF SANTA CRUZ
1. PAYMENT:
A. For fiscal year beginning July 1, 2011, COUNTY agrees to provide CONTRACTOR withmonthly advances as follows:
Part -01 $86,232 for the 2 months of July & August 2011
$90,754 for the month of September 2011
$87,741 for the 3 months of October through December 2011
$79,883 for the month of January 2012
$86,618 for the 5 months of February through June 2012
Part -02 $20,372 for the 2 months of July & August 2011
$21,700 for the month of September 2011
$20,813 for the 9 months of October 2011 through June 2012
B. In order to receive monthly advance payment, CONTRACTOR shall submit a claim in aform acceptable to COUNTY prior to the month of service. COUNTY shall expediteapproval and submission of such claim to the Auditor-Controller.
C. As pertains only to Part -03 of this Agreement, CONTRACTOR shall subm.it monthlyclaims for expenditures in arrears and may not request advance payments. COUNTYshall reimburse CONTRACTOR for services provided under Part -03 based on actualcosts expended by CONTRACTOR. CONTRACTOR shall invoice on the form and in themanner required by COUNTY not to exceed more than one invoice per month.
D. Total funding for the term of this Agreement (12 months) for all Parts is $1,340,463.
2. ADDITIONAL PROVISIONS:
Refer to Exhibit 81 of this Agreement for additional budget, fiscal, and payment provisions.
Page 1 of 4 85Exhib_B_0205_A 1_ V1.doc
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COUNTY OF SANTA CRUZREQUEST FOR APPROVAL OF AGREEMENT
0341
BY:
Board of Su rvisorsCounty Administrative OfficeAuditor Controller
FROM:
(Signature) 5/29/12 (Date)
tions/revenues are available
AGREEMENT TYPE (Check One) Expenditure Agreement ~ venue Agreement 0
The Board of Supervisors is hereby requested to approve the attached agreement and authorize the execution of same.
1. Said agreement is between the Health Services Agency - Mental Health (Department/Agency)
and Santa Cruz Community Counseling Center, Inc. 195 A Harvey West Blvd. Santa Cruz, CA 95060 (Name/Address)
2. The agreement will provide various outpatient, day treatment, residential and housing support services to adult
and adolescent clients
3. Period of the agreement is from July 1, 2011 to June 30, 2012
4. Anticipated Cost Is $ 6,969,872 0 Fixed 0 Monthly Rate 0 Annual Rate ~ Not to Exceed
Remarks Auditor: Please increase encumbrance by $50,000 per the attached schedule
5. Detail ~ On Continuing Agreements List for FY ~-~ Page CC- 7 & 8 Contract, No 0129o Section Ii No Board letter required. will be listed under Item 8~ Section III Board letter required
o Section IV Revenue Agreement
6. Appropriations/Revenues are available and are budgeted in 363210,119,117,362950 (Index)
OR 0 1st Time Agreement
3638,3665 (Sub object)
NOTE: IF APPROPRIATIONS ARE INSUFFICIENT, ATTACHED COMPLETED AUD-74 OR AUD-60
~ have beenAPpropriationsl. available and ~
are not ~ encumbered.Contract No EH10129-01to06&10~----
Auditor-Controller DutyDate 5l30lfL
Proposal and accounting detail reviewed and approved. It is recommended that the Board of Supervisors approve the agreement and authorize
Health Services Agency Director (Dept/Agency Head) to execute on behalf of the
Date: By
gency
Iv'(Department/Agency)
DistributionBoard of Supervisors - WhiteAuditor Controller - CanaryAuditor-Controller - PinkDepartment - Gold
State of CaliforniaCounty of Santa CruzI ex-officio Clerk of the Board of Supervisors of the County of Santa Cruz.
State of California, do hereby certify that the foregoing request for approval of agreement was ap-proved by said Board of Supervisors as recommended by the County Administrative Office by anorder duly entered in the minutes of said Board on 20
ADM - 29 (8/01)Title I. Section 300 Proc Man By: Deputy Clerk
AUDITOR-CONTROLLER USE ONLY
CODocument No.
$
JE Amount Lines Hrr Keyed By Date
TC110Auditor Description Index
/Sub object
$Amount User Code
36
County of Santa Cruz-HSA Mental HealthFY 11/12 SCCCC, Inc. Contract EH1 0129, Amendment NO.1ADM 29 SUPPORTING SCHEDULE: CHANGES TO ENCUMBRANCES
0342
CurrentEncumbrance
FY 11/12 FY10/11CONTRACT Original Amendment Encumbrance
0129 Contract NO.1 Contract ChangeSUFFIX INDEX SOBJ UCD Amount Amount Needed01 36321003 36311904 36311705 36321006 363210
Subtotal Division 3630
10 362950TOTAL ALL INDEXES
ló
36383638363836383638
$3,147.787$2,094,922
$741,494$286,376$629,293
$6,899,872
H460
3665 $20,000
$6,919,872
H375
Page 1 of 1
$3.147,787$2,094,922
$791,494$286,376$629,293
$6,949,872
$20,000
$6,969,872
$0$0
$50,000$0$0
$50,000
$0
$50.000
5/29/2012
0343
Contract No. 0129Index Nos. 363117, 363210
Subobject No. 3638
SANTA CRUZCOMMUNITY COUNSELING CENTER, INC..
AMENDMENT No.1 to FY 2011-2012 AGREEMENT No. 0129
The parties hereto agree to amend that certain above agreement dated July 1, 2011, bychanges as follows:
1. Coversheet
Increase Suffix 04, Index 363117, amount by $50,000 for a new amount of $791,494.Increase total contract amount by $50,000 for a new contract maximum of $6,969,872.
2. Exhibit A - Scope of Services
Delete existing Exhibit A - Scope of Services, Part 01 , pages 1-6 and replace with attachedExhibit A - Scope of Services, Part 01, pages 1-6.
Delete existing Exhibit A - Scope of Services, Part 04 C, pages 5-7 and replace withattached Exhibit A - Scope of Services, Part 04 C, pages 5-7.
3. Exhibit B - Budget, Fiscal and Payment Provisions
Delete existing Exhibit B - Budget, Fiscal and Payment Provisions pages 1, 2 and 4 andreplace with new attached Exhibit B - Budget, Fiscal and Payment Provisions pages 1, 2and 4.
All other provisions of said Agreement, except those mentioned above, shall remain the same.
CONTRACTOR COUNTY OF SANTA CRUZ
/\.1). r\~By caroi~~; ~ecutive Direclor By
Santa Cruz Community Counseling Center, Inc.195-A Harvey West Blvd.Santa Cruz, CA 95060
Health Services Agency
Ib
Exhibit A, 2011-2012
03 ,t4
Contract No. 0129-01, Amendment NO.1
COUNTY OF SANTA CRUZ
EXHIBIT A - SCOPE OF SERVICES
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
Part 01, Amendment No.1
Program Address:
Program Telephone:
Santa Cruz Community Counseling Center, Inc.
4408,4424,4436, 44AW, 44BJ, 44DB, 44CP, 44C9
(831) 469-1700
Community Support Services (CSS) including River Street Shelter,Crisis House, EI Dorado Center, Casa Pacific, Housing Support Team,and Enhanced Support Services
290 Pioneer Street, Santa Cruz, CA 95060
(831) 459-0444
Legal Entity:
Provider Nos.:
Provider Telephone:
Program:
1. PROGRAM INTENT
1.1 Primary Task: The purpose of CSS programs is to support adults with psychiatricdisabilities, who may also have co-occurring chemical dependency (Dual Diagnosis). Allindividuals are provided support to become knowledgeable about their disability, and tomake informed choices regarding their daily living needs. These choices involve theirneed for housing, support services, vocational/educational involvement, physical andpsychological health, and social relationships. Support is provided through acoordinated system of care that includes residential treatment, crisis interventionservices, emergency shelter, supported housing, peer support, and Innovative dualdiagnosis treatment.
1.2 Description of Mental Health Services:A. River Street Shelter: The River Street Shelter provides 32 beds for homeless adult
men and women, including homeless mentally ilL. The Shelter provides specializedservices for homeless individuals with mental illness and designates up to 4 crisisbeds for referrals from Dominican Behavioral Health Unit (DBHU) and COUNTY
. Mental Health. The anticipated length of stay for these beds is 2-3 days. At least60% of the beds at the shelter are for residents with mental illness.
CONTRACTOR shall provide Mental Health Services to residents of the River StreetShelter in order to assist them in maintaining psychiatric stability and in connectingwith community resources for housing, employment, physical health services, andbenefits.
B. Housing Support Team: The CSS Housing Support Team (HST) provides support totenants of SCCCC Housing in order to ensure a stable living environment, to assistthem in developing a support system, to improve skils needed to maintain housing,
Page 1 of 6
It) SCCCC_0129-01_A 1_Exhib_A_ V3.doc
Exhibit A, 2011-2012 Contract No. 0129-01, Amendment No. 1
034 :,
and to connect with community resources for employment, education and communityinvolvement.
The HST staff will facilitate monthly meetings at all sites to build community, assistwith problem-solving household issues, and facilitate social activities. Staff areavailable to meet with tenants in the community for coffee, for support, and to assistthem in connecting to the larger community by attending community events, joiningclubs, etc.
C. Enhanced Support Services (ESS): ESS provides three primary functions:
1. ESS provides intensive "wrap-around" support services to individuals in thecommunity, primarily those within the system of care, for the purposes ofprevention and de-escalation of crises to avoid unnecessary hospitalizations.These crisis prevention services are typically provided for the short term, lessthan 30 days.
2. ESS is part of a collaborative team with COUNTY service providers to assistindividuals returning from locked care facilities to reintegrate back into thecommunity. These clients may receive services on a regular schedule for alonger period of time.
3. ESS provides after hours on~call services for individuals who are in distress,for purposes of prevention and de-escalation of crises in order to avoidunnecessary hospitalization.
Staff are available from 11 :00 am to 9:00 pm, seven days per week. They arealso available on an on-call basis from 9:00 pm until 8:00 am, with an in-personresponse time of one hour or less. Service strategies include peer support,monitoring in natural settings, crisis intervention, and short-term casemanagement. ESS will be staffed by mental health clinicians and peer supportcounselors. Referrals to the team may be made by COUNTY clinical staff andresidential programs.
D. EI Dorado Outpatient Services (EDOP): EI Dorado Outpatient program providesintensive programming to assist individuals to develop or resume a level of functioningthat allows them to live in community-based settings. In collaboration with EI DoradoResidential, it provides an alternative to, or step down from, locked psychiatricfacilities. The outpatient program provides client-centered treatment options focusedon dual diagnosis recovery, managing a psychiatric disability, psycho-educationregarding health and nutrition related to a psychiatric disability and medication,development of skills and interests in the context of support systems, leisure time andlinkages to the community at large. Crisis assessment and intervention services arealso provided. Psychotherapy services and psychiatry services will be provided incollaboration with COUNTY Mental Health Services to augment the program andassist with stabilizing individuals in a community setting. Individuals staying at EIDorado Residential will attend the outpatient program. Additional participants may bereferred from locked care facilities to assist with an individual stabilizing in thecommunity or after graduation from EI Dorado Residential as a transition into thecommunity.
Page 2 of 6
SCCCC_0129-01_A 1_Exhib_A_ V3.doc 15
Exhibit A, 2011-2012 Contract No. 0129-01, Amendment NO.1
034 ':'
E. Medi-Cal Administrative Activities: In addition to the services described above,CONTRACTOR service provision may include, but not be limited to, some or all of thefollowing Medi-Cal Administrative Activities: Medi-Cal Outreach, Facilitating Medi-CalApplication, Medi-Cal Non-Emergency, Non-Medical Transportation, ProgramPlanning and Policy Development, MAA Coordination and Claims AdministrationI ntake/Benefit Assistance.
1.3 Description of Adult Residential Services:
A. Crisis House: Crisis House is licensed and certified as a 24-hour Adult CrisisResidential Program for 10 adults and older adults. Its primary purpose is to providean alternative to, or diversion from, acute psychiatric hospitalization. The focus oftreatment is on crisis management with a maximum length of stay of 30 days.County Mental Health (CMH) will provide psychiatric medication services and workcollaboratively with program staff. Referrals can be made by CMH clinicians orresidential programs, with the approval of the Acute Services Manager or herdesignee, and directly by the Psychiatric Emergency Services (PES) staff atDominican Behavioral Health Unit (DBHU) and the Enhanced Support Team. Thetargeted average length of stay will be 10 days.
A daily written census will be provided to the CMH Acute Services Manager by CrisisHouse staff for purposes of monitoring and discharge planning. A regular clinicalmeeting regarding consumers receiving services at the facility will take place aminimum of once per week that includes program staff and outpatient providers. Arepresentative from Crisis House wil attend the Monday and Friday morning clinicalmeetings at DBHU to discuss potential referrals.
B. EI Dorado Residential: The EI Dorado Residential Program (EDRES) is licensed andcertified as a 24-hour adult residential social rehabilitation program for 16 adults andolder adults. It provides a residential treatment alternative to, or step down from,locked psychiatric units. The EDRES program provides crisis intervention, intensivetreatment and rehabiltation services for individuals in need of intensive services.COUNTY Mental Health (CMH) will provide licensed clinicians to facilitate clinicaltherapy groups and psychiatry services for medication management.
EDRES will provide a written daily census on bed availabilty to the COUNTY AcuteServices Manager or her designee. CONTRACTOR will generally accept all referralsdeemed appropriate by the COUNTY contract monitor or her designee, but wilinform the COUNTY contract monitor of any referral that is problematic and work tofind resolution. The CMH Acute Services Manager must approve all referrals toEDRES during business hours. Dominican Behavioral Health PES staff can makereferrals directly to EDRES on weekends of known system of care clients. Anyreferral not open to CMH will need the approval of the COUNTY Acute ServicesManager for admission to EDRES.
COUNTY will authorize EDRES discharges after consultation with CONTRACTORstaff. Anticipated length of stay at EDRES is based on the clinical need of theindividuaL. A weekly clinical meeting for program staff and CMH outpatient staff todiscuss consumer services will take place.
Page 3 of 6
85 SCCCC_0129-01_A 1_Exhib_A_ V3.doc
Exhibit A, 2011-2012 Contract No. 0129-01, Amendment No.1
0347C. Casa Pacific: Casa Pacific is an Innovative project, licensed and certified as a 24-
hour adult residential social rehabilitation program for 12 COON I Y Mental Health(CMH) residents with a co-occurring substance abuse disorder. This program willutilize non-traditional support services and a "work first model" in collaboration withthe Mental Health Services Act funded Innovations programming to assist residentsin maintaining sobriety, psychiatric stability, and in developing support networks andskills necessary for successful community living. Referrals come through theHousing Council and CMH Coordinators, monitored by the COUNTY Adult ServicesManagers. Expected length of stay is 3-6 months.
1.4 Description of Client Population: CSS serves adults 18 years and older with seriouspsychiatric disabilities with a special emphasis on clients who are dually diagnosed.Many of these individuals are also homeless. Individuals are screened for theirreadiness to manage responsibilities inherent in each particular program. Clients withhistories of violence will be screened for current and potential future risk to others.
1.5 Penormance Measures: Outcomes information shall be provided in a biannual report to theCOUNTY Mental Health Out-Patient Manager and the COUNTY Acute Services Manager.
A. River Street Shelter
Using the HMIS (Homeless Management Information System) Service Point DataSystem, CONTRACTOR shall track the following outcomes:
1. 60% of total intakes will be provided to people living with mental illness;
2. 13% of total intakes will be provided to Latinos;
3. 75 RSS residents will obtain housing; and
4. Four shelter beds will be reserved as crisis beds for DBHU and CMH.
B. Housing Support Team
1. Fewer than 5% of the residents in CSS supported housing wil be evicted.
2. Average length of stay for tenants in CSS supported housing on June 30will be greater than 3 years.
3. A tenant satisfaction survey will be conducted in the month of May resultingin overall satisfaction of at least 4.0 on a 5.0 scale.
C. Enhanced Support Services
1. At least 375 crisis intervention contacts will be performed by ESS staff.
2. At least 150 hospital diversions will occur due to ESS intervention.
3. Less than five 5150 applications by ESS staff.
4. Less than twenty 5150 applications by those other than ESS staff onindividuals open to ESS.
D. EI Dorado Outpatient Services
1. Less than 10% of the participants will be returned by EDOP to DBHU.
Page 4 of 6
SCCCC_0129-01_A 1_Exhib_A_ V3.doc as
Exhibit A, 2011-2012 Contract No. 0129-01, Amendment NO.1
2. Consumers will attend a minimum of 2 groups/activities per day. 0348
E. Crisis HouseTTransltlon House
1. Fewer than 10% of residents admitted will return to higher levels of care.
2. Average length of stay will be 10 days.
3. CONTRACTOR shall provide census data reports on a quarterly basis toCOUNTY Acute Services Program Manager. These reports are due 30days following the end of each quarter and shall include but not be limitedto; length of stay by payor source, payor source percentage, 5150 data, andtransfers in/out between subacute facilities.
F. EI Dorado Residential
1. Less than 10% of the residents admitted will return to higher levels of care.
2. At least 16 individuals annually will be referred to EDRES from Institutions forMental Disease (IMDs).
3. CONTRACTOR shall provide census data reports on a quarterly basis toCOUNTY Acute Services Program Manager. These reports are due 30 daysfollowing the end of each quarter and shall include but not be limited to; length ofstay by payor source, payor source percentage, 5150 data, and transfers in/outbetween subacute facilities.
G. Casa Pacific
1. At least 60% of the residents will meet their own personal goal related tosobriety and employment related activities.
2. No more than 12% will be hospitalized during the contract year.
3. CONTRACTOR continuously works in consultation with the COUNTY toevaluate this Innovative project and contribute to the learning process of theprogram.
2. SYSTEM INTENT
2.1 Geographic area serviced: Services will be provided county-wide.
2.2 Quality Assurance Program: CSS will participate in the CMH Quality ImprovementCommittee.
EDRES, Crisis HousefTransition House and Casa Pacific are reviewed annually byCommunity Care Licensing and the State Department of Mental Health for compliance withsocial rehabilitation residential service standards. COUNTY staff will visit EDRES andCrisis Residential weekly and participate in client service reviews.
Any Quality Improvement denials resulting in loss of revenues to the COUNTY, dueto CONTRACTOR action or inaction, will be the responsibility of the CONTRACTOR.
2.3 Organization and Administrative Structure: Contract file.
Page 5 of 6
86 SCCCC_0129-01_A 1_Exhib_A_ V3.doc
Exhibit A, 2011-2012 Contract No. 0129-01, Amendment NO.1
03492.4 Internal System Affiliations: CSS will coordinate with all other mental health system
providers. Substantial coordination exists with Mental Health Access Team, HousingCouncil, CMH coordinators, program managers, and psychiatrists.
2.5 External System Affiliations: CSS has regular contact with the State's Department ofHousing & Community Development in development projects, as well as locallandlords and propert managers. CSS also has regular contact with other mentalhealth contractors, Homeless Persons Health Project, and the Homeless ResourceCenter. CSS is a member of the California Association of Social RehabilitationAgencies and has regular contact with other similar programs around the state.
2.6 Fair Hearing Practice: Complaints and grievances brought by clients participating inCSS may go through an internal review process, and clients will also be informed ofthe COUNTY's grievance process per the Mental Health Plan. Medi-cal beneficiarieswill be provided all rights under the State guidelines. In addition, formal grievancehearing procedures are established for residents in State funded housing inaccordance with State guidelines.
- END OF EXHIBIT A, PART 01 Amendment No. 1-
Page 6 of 6
SCCCC_0129-01_A 1_Exhib_A_ V3.doc Bö
Exhibit A, 2011-2012 Contract No. 0129-04 Amendment NO.1
D350
Part 04 C, Amendment No.1
Provider:Provider No.:
Program:
Santa Cruz Community Counseling Center, Inc.4424Transition Age Youth Program (TAY) Community SupportServices (CSS) - Formerly THPIILPILSP290 Pioneer Street, Santa Cruz, CA 95060(831) 459-0444
Reporting Units:Program Address:Program Telephone:
1. Primary Task:
The purpose of the Community Support Services (CSS) Transitional Housing Placement Plus(THP+) Program is to provide support and assistance for youth aged 18-21 who have aged outof the foster care or juvenile justice systems. This program is designed to facilitate a seamlessand successful transition from foster care or juvenile probation to self-sufficiency by providinghousing assistance and/or financial assistance for these youth and supporting them inacquiring the knowledge, skills, and attitudes necessary to make informed and effectivechoices regarding their daily living needs.
The purpose of the Independent Living Program (ILP) is to provide a continuum of servicesto assist foster and juvenile probation youth in making the transition to independent living.Services are provided to youth who are currently in foster care between the ages of 15-17and to former foster youth (aftercare youth) between the ages of 18-21. Key servicesinclude: individualized assessment and direct case management; and independent livingskills development including securing a job, money management, decision-making, buildingself-esteem, and assistance with college or vocational schools.
2. Description of Services:
A. Mental Health Services: CSS THP+/ILP staff shall provide the full array of mentalhealth rehabilitation and case management services including assessment, individual,collateral, group, brokerage and crisis services under the Rehabilitation Option to fostercare and juvenile justice youth ages 15-17, and former foster care and juvenile probationyouth (aftercare youth) between the ages of 18-20. Crisis intervention services, with 24-hour on-call availability, are also provided for the youth participating in THP+ supportivehousing program. For youth who are not coordinated by other programs, THP+ and ILPstaff wil serve as coordinators of clinical services. The program wil serve as a "gate"provider.
CSS THP+/ILP provides a full service case management team of a Program Managerand Independent Living Program Counselors. CSS THP+/ILP staff provides specializedsupport services for THP+ and ILP clients throughout the County. The services provided
Page 5 of 11
SCCCC_0129-04_Exhib_A_A 1.doc
86
Exhibit A, 2011-2012 Contract No. 0129-04 Amendment No. 1() 3 51
are individual and group rehabilitative services which support clients in developing skillsand resources relevant to their goals. Included is assistance in developing andmaintaining educational progress, employment skills, daily living skills, social skills,financial management skills, and, if needed, medication management skills. Alsoincluded are individual counseling, assistance in complying with justice systemrequirements, and obtaining referrals to health, mental health, and chemical dependencyresources.
County General Fund, HSD, and Mental Health Services Act match funds support theseprograms.
B. Coordination: CSS THP+/ILP staff will meet as needed with the County Mental Healthstaff as well as with the appropriate HSD Divisions to ensure coordination and evaluationof services.
3. Description of Client Population:
Services are provided to youth who are currently in foster care or juvenile probation betweenthe ages of 15-17 and to former foster or juvenile justice involved (aftercare youth) betweenthe ages of 18-21.
4. Staffing:
3.5 FTE counselors.
5. Service Measurements:
A. THP+/ILP staff will serve approximately 95 clients annually through this contract.
B. CONTRACTOR will report annually on service outcome for educational/employment andhousing stability based upon California state required data.
6. Quality Improvement Program:
CONTRACTOR shall be considered a Children's Mental Health "gate"to services, therebybeing responsible for all related Mental Health Plan requirements (e.g., Notice of Action's,brochures, etc.). CONTRACTOR'S staff will participate in the COUNTY'S interagencycollaborative efforts and are part of the Ouality Improvement (01) plan under the Medi-CalRehabilitative Option. CONTRACTOR'S staff will be assessed through the OualityImprovement Committee's guidelines as well as through the Children's Mental Healthevaluation component. Attendance at scheduled Children's Mental Health UtilizationReview (UR) meetings is required. In addition, participation in the COUNTY's performanceoutcome measurement system (e.g., administration of Child Behavior Checklist (CBCL),Ohio Scales, etc.) will be required.
7. Fair Hearing Practice:
Complaints and/or grievances brought by clients participating in CONTRACTOR servicesmay go through up to four levels of review. If the complaint cannot be satisfactorilyresolved at one level, the grievance proceeds to subsequent levels. These are: (1)
Page 6 of 11
SCCCC_0129-04_Exhib_A_A 1.doc lõ
Exhibit A, 2011-2012 Contract No. 0129-04 Amendment NO.1
0352Program Manager; (2) Program Director; (3) Executive Director; (4) External Systems, e.g.,LegaL.
8. Fee Schedule:
All program clients will have placement Medi-Cal.
Page 7 of 11
SCCCC_0129-04_Exhib_A_A 1.doc
86
Exhibit S, 2011-2012 Contract No. 0129, Amendment No. 1
COUNTY OF SANTA CRUZ
EXHIBIT B - PAYMENT, BUDGET, AND FISCAL PROVISIONS, AMENDMENT NO.1
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
o 3L)3
1. PAYMENTS:
A. For the fiscal year beginning July 1, 2011 and ending June 30, 2012, COUNTYagrees to provide CONTRACTOR with monthly advances not to exceed thefollowing amounts:
Part -01:
$254,244 for each of the 2 months July 2011 and August 2011$278,455 for the month of September 2011$262,316 for each of the 9 months October 2011 thru June 2012
Part -03:
$179,160 for each of the 2 months July 2011 and August 2011$165,409 for the month of September 2011$174,577 for each of the 9 months October 2011 thru June 2012
Part -04:
$61,791 for each of the 11 months July 2011 thru May 2012$111,793 for the month of June 2012
Part -05:
$25,114 for each of the 2 months July 2011 and August 2011$21,363 for the month of September 2011$23,865 for each of the 9 months October 2011 thru June 2012
Part -10:
$1,666 for each of the 11 months July 2011 thru May 2012$1,674 for the month of June 2012
B. In order to receive monthly advance payment, CONTRACTOR shall submit a claimin a form acceptable to COUNTY prior to the month of service. COUNTY shallexpedite approval and submission of such claim to the Auditor-Controller.
C. As pertains only to Part -06 of this Agreement, CONTRACTOR shall submitmonthly claims for expenditures in arrears and does not require advancepayments. COUNTY shall reimburse CONTRACTOR for services provided underPart -06 based on actual costs expended by CONTRACTOR, not to exceed$629,293. CONTRACTOR shall invoice on the form and in the manner required byCOUNTY not to exceed more than one invoice per month.
D. Total funding for the term of this Agreement (12 months) for all Parts is $6,969,872.
2. ADDITIONAL PROVISIONS:
Refer to Exhibit B1 of this Agreement for additional budget, fiscal, and paymentprovisions.
Page 1 of 7
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