TO: Board of Supervisors
FROM: Jennifer Yasumoto - Director Health & Human Services Administration
REPORT BY: JoAnn Melgar, Staff Services Analyst II
SUBJECT: Agreement with City and County of San Francisco Department of Public Health (California Home Visiting Program)
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign Revenue Agreement No. 210401B with the City and County of San Francisco Department of Public Health for a maximum of $400,000 for the term July 1, 2021 through June 30, 2023 to carry out the California Home Visiting Program.
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EXECUTIVE SUMMARY
The purpose of this funding is to award funds to Local Health Jurisdictions (LHJs) to implement the California Home Visiting Program (CHVP) as a primary intervention strategy for families from pregnancy through kindergarten entry, by providing home visiting services to promote positive outcomes and family success.
The funds were awarded by the California Department of Public Health (CDPH) directly to the San Francisco City and County Department of Public Health, which is subcontracting with Napa and Sonoma Counties to carry out this program. This Agreement will provide $200,000 per fiscal year for Fiscal Years 2021-2022 and 2022-2023, for a total of $400,000.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health & Human Services Public Health |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
This Agreement is discretionary in that there is no mandate for the County to accept this revenue. However, this Agreement will allow Health and Human Services Public Health division to implement the Trauma-Informed Approach in Public Health Nursing (TIA PHN) model and be better able to assess and address Childhood Adverse Experiences that negatively affect the mental health, social and medical needs of high risk families in urban, suburban and rural settings, and reach a more demographically diverse population. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement terminates on June 30, 2023. Appropriations have been included in the approved Fiscal Year 2021-2022 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
Napa County Public Health would not have funding to implement the TIA PHN model. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
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Additional Information |
N/A |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Napa County has been awarded a 3-year CHVP Innovation grant, in collaboration with San Francisco and Sonoma Counties, for a total of $400,000 or $200,000 per fiscal year commencing July 1, 2021 through June 30, 2023.
The San Francisco Home Visiting Consortium made up of San Francisco City and County, Sonoma County and Napa County (Consortium) was awarded this grant to launch a new trauma-informed home visiting model based on Adverse Childhood Experiences (ACEs) research, with the goal of mitigating toxic stress, encouraging resilience, and optimizing health among enrolled clients. Through our public health home-visiting programs, the Consortium will implement the Trauma-Informed Approach in Public Health Nursing (TIA- PHN)-to all eligible and enrolled clients and their families. By implementing this new model across the three counties, we will be better able to assess and address ACEs that negatively impact the mental health, social and medical needs of high-risk families in urban, suburban and rural settings, and reach a more demographically diverse population.
The TIA PHN model provides a standardized curriculum covering the following three areas: Lowering Toxic Stress, Brain Development, and Trauma Informed Care during the prenatal and postpartum periods. PHNs trained specifically in the delivery of this curriculum will use a client-centered approach, encouraging self-reflection and resiliency building. Using a multidisciplinary team, the TIA PHN model relies upon Public Health Nurses (PHN), Community Health Workers (CHWs) and Social Workers (SW) to complete home visits. PHNs will be the primary case managers for enrolled clients and will refer clients to CHWs for health education and addressing barriers to care, and to the SW for linkages and advocacy in navigating systems and resources.
SUPPORTING DOCUMENTS
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CEO Recommendation: Approve