Fremont City Council Meeting: 07/11/23 07:00 PM
3300 Capitol Avenue Div/Dept: Human Services Department Fremont, CA 94538 Category: Agreements and Contracts
SCHEDULED
Sponsors:
COUNCIL STAFF REPORT (ID # 4929) DOC ID: 4929
Updated: 7/5/2023 2:29 PM by Susan Gauthier Page 1
ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES MASTER
CONTRACT - Authorization to Execute a Contract Renewal with Alameda County Behavioral Health for Adolescent Substance Use Disorder Services Provided by the Human Services Department’s Youth and Family Services Division for FY 2023/24 and Making FIndings of CEQA Exemption
Contact Persons:
Name: Annie Bailey Suzanne Shenfil
Title: Youth and Family Services
Administrator
Director
Div/Dept: Human Services Department Human Services Department Phone: 510-574-2111 510-574-2051
E-Mail: [email protected] [email protected]
Executive Summary: For the past eleven years, Alameda County Behavioral Health (ACBH) has contracted with the City’s Human Services Department to provide outpatient Adolescent Substance Use Disorder (SUD) services for the Tri-city area. Staff recommends the City Council authorize the City Manager or designee to renew the contract with ACBH, for FY 2023/24, in an amount not to exceed $516,881 in alignment with the FY 2023/24 Operating Budget.
BACKGROUND: Since FY 2012/13, ACBH has contracted with the Youth and Family Services Division of the Human Services Department to implement best practice models of adolescent early intervention and outpatient Substance Use Disorder (SUD) treatment services, and to hire staff with certified adolescent SUD treatment credentials and expertise.
YFS has strong history of working with at-risk adolescent and their families providing mental counseling, youth diversion at the Police Department for at-risk youth, parenting support and education. The division and its counseling team have long recognized the great need for substance use disorder services for adolescents and possess the knowledge and skills to help support this community need.
Since YFS assumed the program in FY 2012/13, it has developed policies and procedures based on the States Youth Treatment Guidelines, and standardized assessment protocols for the youth and families referred for services. The SUD intervention specialists conduct a family focused assessment of the youths’ and parents’ alcohol and drug abuse history.
Youth who are assessed as drug dependent receive case management and referrals to higher levels of treatment as needed, and the youth with less serious presenting problems participate in early intervention which includes individual and family meetings, groups for the youth and Multi-family groups for parents. The intervention services for youth are based on two best practice models: Why Try and the Matrix Model for Teens and Young Adults.
In 2018, ACBH implemented a Drug Medi-Cal Organized Delivery System in Alameda County. This system is designed to increase and improve quality of services and success of client SUD treatment while decreasing other care costs. Cost savings are accomplished by generating revenue through the provision of Drug Medi-Cal (DMC) reimbursable services to Council Staff Report (ID # 4929) Meeting of July 11, 2023 Updated: 7/5/2023 2:29 PM by Susan Gauthier Page 2
eligible beneficiaries, while also increasing services for non-DMC eligible beneficiaries through other funding sources such as federal Block Grant funds.
The Human Service Department’s YFS division was awarded a master contract in early June 2018. The contract, which required the City to become a certified State Medi-Cal provider, funds three levels of adolescent SUD care: outpatient, intensive outpatient, and recovery services. It provides funding for both Medi-Cal and non-Medi-Cal eligible adolescent beneficiaries. The City became a State certified Drug Medi-Cal provider in early 2019.
DISCUSSION/ANALYSIS: Limited program services exist in the Tri-Cities for young people who have been identified with substance abuse issues. This is particularly true if the youth is from a low-income family or does not have health insurance. The YFS Substance Use Disorder program augments and compliments the City’s existing programs for at-risk youth who have been identified with substance abuse issues in the hope of reaching them before they become drug dependent. YFS program staff are committed to providing needed services and partnering with ACBH in developing these services for young people in the Tri-City area.
FISCAL IMPACT: This program will have no impact to the General Fund. The FY 2023/24 contract provides $516,881 to cover the cost of the program’s operation through June 30, 2024. In anticipation of this contract, the City Council appropriated sufficient funds for this program as part of the FY 2023/24 Adopted Operating Budget in the Youth and Family Services Behavioral Health Fund (Fund 170).
ENVIRONMENTAL REVIEW: This action is exempt from, and not subject to the requirements of the California Environmental Quality Act, Pub. Res. Code Section 21000, et seq. (CEQA) pursuant to, without limitation CEQA Guidelines Section 15378 (b)(2) and/or (5), in that it is an administrative activity that has no possibility for causing a significant effect, directly or indirectly, on the physical environment, and/or Section 15061(b)(3) in that it can be seen with certainty that the action has no potential to cause a significant effect on the environment. Each of the foregoing provides a separate and independent basis for CEQA exemption.
ATTACHMENTS: None.
RECOMMENDATION: Authorize the City Manager, or designee, to execute a FY 2023/24 master contract with Alameda County Behavioral Health for the delivery of adolescent substance use disorder intervention and treatment services, for the period of July 1, 2023 through June 30, 2024 in an amount not to exceed $516,881.