TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services
REPORT BY: Shelli Brobst, Contracts Manager
SUBJECT: Agreement with Aldea, Inc. and University of California, Davis (Early Psychosis Learning Health Care Network)
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign the following agreements, each for the term July 1, 2021 through June 30, 2024 regarding the California Early Psychosis Learning Health Care Network collaborative:
1. Agreement No. 220060B with Aldea, Inc. for a maximum of $126,277 for participation in the University of California at Davis California Early Psychosis Learning Health Care Network; and
2. Agreement No. 220080B with the University of California, Davis for a maximum of $39,660 to lead the California Early Psychosis Learning Health Care Network Collaborative.
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EXECUTIVE SUMMARY
Approval of the recommended action will enable the contractors, in partnership with the Napa County Mental Health Division, to participate in the University of California Early Psychosis (EP) Learning Health Care Network (LHCN) to support quality improvements, consumer engagement and provide use of measurement-based care in Early Psychosis (EP) programs. UC Davis will act as the lead agency for the LHCN.
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 Mental Health Service Act 20002-03 |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
While approval of these Agreements is discretionary, Aldea is the only mental health provider in Napa County that offers evidence based practice interventions in Early Psychosis services. Additionally, the University of California at Davis is the lead for the California Early Psychosis Learning Health Care Network. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
These Agreements end on June 30, 2024. 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: |
If these Agreements are not approved Napa County will not be part of the Statewide Innovation Project that aims to improve interventions for individuals experiencing early psychosis symptoms. |
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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 |
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
The Mental Health Services Act of 2004 (MHSA), passed by the voters as “Proposition 63,” imposed a 1% income tax on California residents with more than $1 million per year in income in order to fund the transformation of mental health services throughout the state from a “fail first” model to one promoting intervention, treatment and recovery from mental illness.
The MHSA Innovations Component guidelines created by the Mental Health Oversight and Accountability Commission (MHSOAC) define Innovation projects as “novel, creative and/or ingenious practices/approaches that contribute to learning…that are developed within communities through a process that is inclusive and representative, especially of unserved, underserved and inappropriately served individuals.”
The MH Division anticipates that it will participate in the statewide Early Psychosis Learning Health Care Network (EP LHCN) and anticipates that it will also partner with the University of California at Davis and Aldea’s early psychosis program Supportive Outreach & Access to Resources (SOAR) pending approval of these proposed agreements by the Napa County Board of Supervisors. This project, led by UC Davis, will bring client-level data to the clinician’s fingertips. The center point of this project is the development of a software application (app), which will support ongoing data-driven learning and program development across the state.
The EP LHCN will collect and visualize real-time data at the individual, clinic, county, and state levels to inform consumer and program level decisions and develop learning opportunities for individuals, staff, programs, and administrators to improve consumer outcomes. Clients will use an Early Psychosis app to report daily symptoms providing real-time data that clinicians will use to improve the quality of Early Psychosis treatment services. Through its participation in the EP LHCN, the Napa County Mental Health Plan and Aldea’s SOAR Early Psychosis program hopes to increase understanding of the most effective engagement and treatment approaches in order to decrease the duration of untreated psychosis, maximize early detection of psychosis symptoms, and ultimately reduce suffering caused by the onset of Early Psychosis in local residents.
SUPPORTING DOCUMENTS