To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-575-14 with Lincoln
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-575-14 with Lincoln, a non-profit corporation, in an amount not to exceed $594,447, to provide multi-dimensional family therapy (MDFT) for eligible adolescents ages 11-19, and their families, who have mental health issues or co-occurring issues with substance abuse associated with mental health and behavioral problems, for the period from July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $594,447 as budget by the department for FY 2024-25 and will be funded 100% by Mental Health Services Act revenue.
BACKGROUND:
This Contract meets the social needs of the County’s population by providing MDFT for eligible adolescents, and their families, who have mental health issues or co-occurring issues with substance abuse associated with mental health and behavioral problems and who are on probation or referred by County’s Mental Health Children’s System of Care. The Behavioral Health Services Division has been contracting with Lincoln since July 2018. This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code §§ 5600, et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the contract are upheld. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
This Contractor was selected in collaboration with community stakeholder advisory bodies and was approved as part of the comprehensive Mental Health Services Act Three-Year Plan as required by State regulation. Providers interested in providing specialized services were invited proactively to participate in program development and offered the opportunity to submit interest at dozens of publicly noticed meetings. The services and vendors were identified in the formal Three-Year plan was approved on the following schedule that was noticed to the public and approved by the Board on August 1, 2023. The Three-Year Plan was posted for public comment from June 5, 2023 through July 5, 2023, there was a Public Hearing at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023.
On November 28, 2023, the Board of Supervisors approved Contract #74-575-13 with Lincoln, in an amount not to exceed $594,447, to provide MDFT adolescents and their families, for the period July 1, 2023 through June 30, 2024.
Approval of Contract #74-575-14 will allow the Contractor to continue providing services through June 30, 2025. This Contract is delayed due to prolonged budget negotiations between the Division and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, adolescents and their families may experience reduced or discontinued behavioral health services.
CHILDREN’S IMPACT STATEMENT:
This Contract supports the following Board of Supervisors’ community outcomes: “Children Ready for and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) and placement at discharge to a lower level of care.