Agenda

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C.103

To:	Board of Supervisors
From:	FAMILY & HUMAN SERVICES COMMITTEE
Date:	December 20, 2016

Contra

Costa

County

Subject:

F&HS Referral No. 107 - Laura's Law: Data Report on 6 Month AOT Implementation

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/20/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

Contact:

Enid Mendoza, (925) 335-1039

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: December 20, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ACCEPT the report from the Health Services Department on the six month implementation of the County's Assisted Outpatient Treatment Program, as authorized by the Board of Supervisors and AB 1421 (Laura's Law).

FISCAL IMPACT:

Mental Health Services Act funding to support the program is budgeted within the Health Services Department budget, and there is no impact to the County General Fund.

CONSEQUENCE OF NEGATIVE ACTION:

The Board will not have accepted the data presented.

BACKGROUND:

Board Resolution No. 2015/9, adopted February 3, 2015, approved the implementation of Laura’s Law (AOT) for a three year term project; continuance to be contingent upon demonstration of the efficacy of court ordered out-patient treatment. Additionally, this Resolution directed the Health Services Department to develop an evaluation design that determines the difference, if any, in program impact and cost savings to the county for individuals who are ordered to participate in services versus those individuals who voluntarily participate in the same level and type of services.

On June 16, 2015 the Board approved and ordered the implementation of the AOT Program Design. This approved AOT Program Design included contracting with a Principal Investigator via competitive Request for Proposal (RFP) to apply an independent, objective social research design to address whether voluntary versus involuntary participation makes a difference, and whether the newly implemented service delivery has a better program impact and cost savings to the County than existing Full Service Partnership (FSP) programs in the County who are currently serving persons with serious and persistent mental illness. California Welfare and Institutions Code section 5348 also sets forth requirements for annual evaluation of County AOT programs.

Through the a competitive RFP process, Resource Development Associates (RDA) was selected to provide evaluation functions as authorized by the Board. Since then, Health Services has been working closely with RDA to ensure evaluation metrics are documented and tracked.

On September 27, 2016, the Board accepted the report, as recommended by the Family and Human Services Committee (FHS), from the Health Services Department on the implementation of the County's AOT program. During the time of this report, data on the initial 6 month implementation period was not yet available and the Board accepted the department's proposal to report back to FHS and the Board when the data report was finalized.

On December 12, 2016, the Health Services Department and Resource Development Associates presented the attached report and presentation document to FHS. FHS approved forwarding the report to the full Board for their information and as follow up to the information presented to the Board on September 27, 2016.

CLERK'S ADDENDUM

Speakers: Barbara Serwin, Vice-Chair, Mental Health Commission (handout attached); Lauren Rettagliata; Douglas Dunn, resident of Antioch (handout attached); Teresa Pasquini, resident of El Sobrante (handout attached).