Agenda

Return

C. 55

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 19, 2021

Contra

Costa

County

Subject:

Contract #74–322–20 with Youth Homes Incorporated

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/19/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, Ph.D, 925-957-5212
cc:	E Suisala M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 19, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74–322–20 with Youth Homes Incorporated, a non-profit corporation, in an amount not to exceed $2,096,386, to provide residential treatment and Therapeutic Behavioral Services (TBS) to children who are Seriously Emotionally Disturbed (SED), for the period from January 1, 2021 through June 30, 2021, which includes a six-month automatic extension through December 31, 2021, in an amount not to exceed $2,096,386.

FISCAL IMPACT:

Approval of this contract will result in contractual expenditures of up to $2,096,386 and will be funded by 50% Federal Medi-Cal ($1,048,193) and 50% Mental Health Realignment ($1,048,193) revenues.

BACKGROUND:

The Behavioral Health Services Department has been contracting with Youth Homes Incorporated, since January 2007 to provide residential treatment and TBS to children who are SED. This contract meets the social needs of the County’s population by providing residential day treatment therapeutic behavioral services, including medication, support, crisis intervention and other mental health services to children who are seriously emotionally disturbed, and their families in order to keep them out of higher levels of placement. 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.

On December 10, 2019, the Board of Supervisors approved Novation Contract #74–322–16 with Youth Homes Incorporated for the provision of residential treatment and TBS to SED children for the period from July 1, 2019 through June 30, 2020, which included a six month automatic extension through December 31, 2020.

On March 10, 2020, the Board of Supervisors approved Amendment Agreement #74-322-17, to increase the payment limit by $108,903 to a new payment limit of $4,192,771. On April 28, 2020, the Board of Supervisors approved Amendment Agreement #74-322-18 to modify the rate schedule due to COVID-19 for the period April 1, 2020 through June 30, 2020. On July 28, 2020, the Board of Supervisors approved Amendment Agreement #74-322-18 to modify the rate schedule due to COVID-19 for the period July 1, 2020 through December 31, 2020.

Approval of Contract #74-322-20 will allow the contractor to continue providing services through June 30, 2021.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, there would be fewer step-down group home options available in the County and SED children who are requiring this level of care may experience out of State placement.

CHILDREN'S IMPACT STATEMENT:

This contract supports the following Board of Supervisors’ community outcomes: (1) Children Ready for and Succeeding in School; (4) Families that are Safe, Stable and Nurturing; and (5) Communities that are Safe and Provide a High Quality of Life for Children and Families.