TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services
REPORT BY: Shelli Brobst, Contracts Manager
SUBJECT: Amendment No. 3 to Agreement with Aldea (First Episode Psychosis Treatment)
RECOMMENDATION
title
Director of Health and Human Services requests approval of and authorization for the Chair to sign Amendment No. 3 to Agreement No. 170822B with Aldea, Inc., increasing the amount by $12,000 for a new maximum of $202,792, amending Specific Terms and Conditions, the Scope of Work and Compensation exhibits for the provision of First Episode Psychosis (FEP) Treatment to Napa County residents ages 12 through 28 years of age.
body
EXECUTIVE SUMMARY
The County is under contract with Aldea, Inc. to provide First Episode Psychosis (FEP) Treatment to Napa County residents ages 12 through 28 years of age.
Approval of the requested Amendment No. 3 will:
1. Increase the amount by $12,000 for a new annual maximum of $202,792;
2. Modify Specific Term and Condition 3.1(l) to change the amount of Federal Funding under this Agreement because the contractor is a subrecipient or pass-through entity;
3. Incorporate Specific Term and Condition 3.4 to delegate authority to the Director of HHSA to approve future amendments to Exhibit A and Exhibit B provided that any such amendment does not add new services to be provided or increase the maximum compensation;
4. Replace Exhibit A-1 (Scope of Work) with Exhibit A-2 to update reportable outcomes and contract monitoring language; and
5. Replace Exhibit B-1 (Compensation, Financial Reporting and Budget) with Exhibit B-2 to incorporate a new budget for Fiscal Year 2021-2022 and each automatic renewal thereof.
Aldea, Inc. is a local vendor.
FISCAL & STRATEGIC PLAN IMPACT
|
Is there a Fiscal Impact? |
Yes |
|
Is it currently budgeted? |
Yes |
|
Where is it budgeted? |
Health and Human Services, Mental Health |
|
Is it Mandatory or Discretionary? |
Discretionary |
|
Discretionary Justification: |
While approval of this Amendment is discretionary, Napa County has received continued funding for its ongoing Substance Abuse and Mental Health Services Administration (SAMHSA) Mental Health Community Services Block Grant (MHBG) from the California Department of Health Care Services for FEP treatment. |
|
Is the general fund affected? |
No |
|
Future fiscal impact: |
This Agreement contains a provision for automatic annual renewal. Appropriations have been included in the approved Fiscal Year 2021-2022 budget and future fiscal years will be budgeted accordingly. |
|
Consequences if not approved: |
Napa County Mental Health Division will forgo additional SAMHSA Mental Health Block Grant First Episode Psychosis funding that can assist the contractor with serving a facet of the population that is in great need of specialty mental health services. |
|
County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
|
Additional Information |
None |
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 Health and Human Service (HHSA) Mental Health Division was granted Substance Abuse and Mental Health Services Administration (SAMHSA) Mental Health Block Grant (MHBG) First Episode Psychosis (FEP) funding to provide services to individuals experiencing their first episode of psychosis. The HHSA Mental Health Division proposes to do this through a contract with Aldea Inc. to provide collaborative, comprehensive, effective, evidenced-based treatment to individuals that meet criteria for having had a first episode of psychosis, within the last three years. This program seeks to engage individuals as early as possible after their first episode of psychosis. Research increasingly shows that early treatment is necessary to prevent deterioration and resistance to treatment. Research also shows that treatment is less effective the longer patients go without receiving it. Early identification and intervention significantly increases the likelihood for substantial improvement in functioning, symptomatology and prognosis.
The goals of Aldea’s program include: 1) treat individuals who meet FEP criteria and prevent subsequent psychotic episodes; and 2) to support these same individuals in managing and reducing their symptoms, reaching their goals, and becoming more fully functioning members of society. Aldea works in close collaboration with HHSA Mental Health Division, community partners, local hospitals, and all relevant providers. Aldea Multi-disciplinary Treatment Team meetings are held regularly and outside providers or parties involved with the family and/or individual who are invited by the family to be a member of the treatment team are encouraged to participate. Services are both community and office-based with flexible hours to increase accessibility. It is important to note that this agreement does not fund the actual services, the Contractor’s EPSDT agreement pays for the services associated with this program.
This MHBG contract funds the staffing, administrative support, and operational costs associated with the FEP Program. This Amendment would allow for a contract maximum increase of $12,000 bringing the new maximum to $202,792. Lastly, approval of this Amendment redefines staffing positions that will be funded by this agreement, updates reportable outcomes, and updates the contract monitoring language. The State released county program budgets in late May 2021, which is why this Amendment is now being presented to the Board.
SUPPORTING DOCUMENTS
Amendment No. 3 to Agreement with Aldea, Inc.
CEO Recommendation: Approve