SOUTHWEST BEHAVIORAL HEALTH SIGNED CI.PDF
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RIC ace ie, Ce, me AREZONA| Ul) | ste iy f ll) ae ae (o) Office of Procurement Services GOODS AND SERVICES COMPETITION IMPRACTICABLE FORM This form is to be used when an agency believes an acquisition is a single source and the acquisition dollar amount is above $5,000. The Chief Procurement Officer can approve purchases up to $100,000. Board of Supervisors approval is required if the acquisition is over $100,000. This form must be submitted for approval to: Office of Procurement Services | 320 W. Lincoln | Phoenix, AZ 85003. Fax number: 602.258.1573. The signed form must be retained in the purchasing file. DEPARTMENT NAME DEPARTMENT RX# Correctional Health Services PROPOSED CONTRACT VENDOR NEED IDENTIFIED Date: March 19, 2017 Company: Southwest Behavioral & Health Services REQUESTED DELIVERY May 22, 2017 Address: 3450 N. 3rd Street Date: City, State: Phoenix, AZ QUOTED PRICE: 1 09,1 29 Zip/Postal Code: [85012 Phone: (602) 525-7669 Accounting String: 254-D500-5139-INSS-8112-12 Fax: Contact Name: |Deborah Woodard DESCRIPTION OF GOODS OR SERVICE REQUIRED: The estimated cost of this Procurement is: Cs $100k (@) > $100k Is this a Technology Procurement? QOYes @No Procure services of Southwest Behavioral & Health Services (SWBH) equivalent to 2 FTE to work from inside the jail facilities to provide inmates the following services just prior to release: immediate assessment, assistance with release planning, check and verify AHCCCS and Regional Behavioral Health Authority (RBHA) enrollment status, pre-release services, coordination with the courts, and Rapport Development for persons identified appropriate for the program made available through the SWBH Criminal Justice Engagement Team. SINGLE SOURCE CATEGORY (check applicable box, attach documentation or provide explanation below.) Maricopa County Procurement Code MC1-351 states: “Single source” means an acquisition where, competition is impractical because of standardization, warranty, or other factors as approved by the Board of Supervisors. NOTE: The following are unlikely to be sufficient single source justifications: + Personal or agency preference for a product or vendor + Agency perception that the vendor is the best qualified (this should be determined through a competitive process} - Lack of agency planning resulting in limited time to conduct a competitive procurement + Special incentive or deal offered (can be assessed in open and competitive solicitation) + Agency convenience . . Software license renewals, additions, or upgrades available C) Grant specified (supporting documents attached) O from only one source Brand compatibility available from only one source (no other C) Mailing lists, subscriptions or media advertising O > distributors) (©) Warranty voided if service provided by other contract vendor C) Other proprietary situation (@) Other (Provide written explanation below) CERTIFICATIONS I certify: 1) | recognize that the Marlcopa County Procurement Code requires the use of competitive solicitations unless exempted by law. Thave reviewed the information and materials relevant to this procurement of goods and services, and am requesting approval of an exception ta the competitive process for the reasons described; 2) the price to be pald to the proposed single source vendor is falr, reasonable, and provides the best value to Maricopa County; and 3) this request for an exception to the competitive solicitation process Is not the result of Inadequate advance planning or for purposes of securing the services of a preferred vendor. Agency Head or Agency Head Delegate Signature (Required) 05/10/2017 Jeffrey Alvarez Printed Name Signature Date Office of Procurement Services The CPO can approve procurements up to $100,000, This request Is over $100,000 and must be submitted as an agenda item to the Board of Supervisors for consideration, [5Recommended to BOS for approval. / . £7 - —_ YOu 22/1] Zantus S L4.-_ Printed Name Sighature Date * _ THIS PROCURMENT IS A SINGLE SOURCE BECAUSE (attach additional page if needed): SWBH receives funding for an early diversion program for SMI designated individuals from the RBHA via AHCCCS. This program is available to assist individuals upon release of jail. An agreement between CHS and SWBH, whereby SWBH provides discharge planning services to individuals leverages the funds/services that SWBH has available to place these individuals into community programs funded by the RBHA. It is in the best interest of the County to use SWBH because it avails newly released individuals from jail directly into their community program(s). SEARCH A search was conducted consisting of: (check all that apply) RESULTS [_] Market research [7] Public notice given, list [J no alternatives were identified no alternatives were deemed acceptable [[] Other vendors contacted [J] Other x because (explain below): Describe the search from above in detail: Refer to justification above. PRICE MC1-352-B states: The Using Agency requesting a Competition Impracticable Procurement shall provide written evidence to support a Competition Impracticable determination containing an explanation of why the proposed procurement process is Advantageous to the County; and the scope, duration, and estimated total dollar value of the procurement. Price has been fairly and reasonably established by: [-] Comparison to public sector contract pricing Comparison to previous comparable purchases [-] Discount off published catalog pricing oq from a different vendor [-] Market survey [-] Independent estimate X] Other, explain: Describe methodology and results (attach any written supporting data, e.g., survey or market analysis): Comparison of SWBH's budget proposal was made to internal CHS budgeted line-items, specifically in regards to salaries and benefits. Budget proposal is comparable to county rates. CERTIFICATIONS I certify: 1) | recognize that the Maricopa County Procurement Code requires the use of competitive solicitations unless exempted by law. | have reviewed the information and materials relevant to this procurement of goods and services, and am requesting approval of an exception to the competitive process for the reasons described; 2) the price to be paid to the proposed single source vendor is fair, reasonable, and provides the best value to Maricopa County; and 3) this request for an exception to the competitive solicitation process is not the result of inadequate advance planning or for purposes of securing the services of a preferred vendor. Agency Head or Agency Head Delegate Signature (Required) Printed Name Signature Date Office of Procurement Services The CPO can approve procurements up to $100,000. This request is over $100,000 and must be submitted as an agenda itern to the Board of Supervisors for consideration. [[] Recommended to BOS for approval. Printed Name Signature Date March 14, 2017 Southwest Behavioral & Health Services Criminal Justice Engagement Team (CJET) 3450 N 3" Street Phoenix AZ 85012 Deborah Woodard, VP Community Resilience 602 525 7669, deborahw(@sbhservices.org Ed McClelland, VP of Community Services 602 399 0894, edm@sbhservices.org Maricopa County Correctional Health Services Dawn Noggle, PhD, CCHP Mental Health Director Subject: Proposal for Service Enhancement Proposal Southwest Behavioral & Health Services (SB&H) would like to propose a Service Enhancement Project to improve the impact and overall effective outcomes of its current Criminal Justice Engagement Team (CJET) in service to Maricopa County Correctional Health Services. Per discussion, SB&H proposes that Maricopa County Correctional Health Services apply available Maricopa County funding to contract with SB&H to provide Two Full Time Staff ‘(80 hours per week), with associated costs to work from inside assigned jail facilities (badged entry). The purpose of the staff positions would be to enhance the effectiveness of the CJET team by offering Proactive Service Initiation Prior to Release to include; Cooperative Service efforts with CHS Mental Health Staff, Immediate Assessment, Assistance with Release Planning, ability to Check and Verify AHCCCS and RHBA enrollment status, Pre-Release Services, Coordination with Courts, and Rapport Development for persons identified as appropriate for the program. The Expected Outcome is a significant Increase in the Number of Referrals to the program, a significant Increase in the Number of Participants who follow through and are successful (curtailment of repeat offenders), Improvement in the Accuracy of Determination of Eligibility, ability to make better use of current MMIC Funding as a Synergistic fund source, a significant Reduction Of the Cost and Burden on resource placed on Maricopa County Correctional Systems, and all around streamlining of program process efficiency. The Service Enhancement Project will also serve as a comprehensive pilot in preparation for the new MCSO Intake Transfer Release Facility; expected completion 2019. The cost being proposed as outlined in the attached budget is $119,829. Following approval, SB&H would be able to implement the plan in approximately 60 days; needing to select, hire, train, and credential staff for the duty. History and Current Challenges Approximately one year ago, SB&H began work in cooperation with and was funded by MMIC, the Regional Behavioral Health Authority to provide Navigation Services through a Criminal Justice Engagement Team program for persons with Serious Mental Illness being processed and released through jail systems for petty crimes (less than 24 hour stay). The Navigation Services currently in place are short term 90 day intensive services intended to curtail repeat offenses and the recidivism that produces high costs and resource burdens by offering services, reconnecting persons to services, and holding responsible community health providers accountable for engagement as a solution and alternative to incarceration. Currently, the CJET team relies on referrals from the jails and meets persons referred for the first time at the release door outside the jail at coordinated pick up times. There is no current requirement for participation once an individual is released. SB&H examined service performance over time finding that while 50% of referrals initially engage, 50% either refuse or there is another problem with program eligibility before release that is poorly evaluated and communicated. The result is SB&H staff spending considerable time waiting at the back door of the jail with a 50/50 chance of the referral working out. Despite these early challenges, the program is working and has quite a large potential. Research also shows jail diversion programs reduce expenditures and produce on average lower jail costs. Providing intensive outpatient services is more expensive at the outset, but such costs are subsequently offset by reduced jail, hospital stays, and burdens to public systems. There are Two Major Keys- Historically from experience; Client Rapport is Instrumental and Mandatory to success no matter what the program. If the Staff who engages the client pre- release is the same staff who works with the client after release, SB&H predicts the success rate of the program will improve exponentially. The second key element is the Ability to Quickly Assess and Determine the client both Eligible and Appropriate for the program. SB&H_believes that streamlining current inefficiencies will as well exponentially improve the program outcomes improving ability to focus time and attention where it is most impactful. Methodology SB&H is proposing in the budget, the costs for 2 Full Time FTE’s, 80 service hours per week, however we plan to divide the hours across new and current staff perhaps badging and credentialing 4-5 staff persons to work inside the jail part time. This plan will provide opportunity for Direct Care staff to develop rapport with persons working pre and post release. The staffing pattern will also be able to span over greater periods of time with increased staff presence overall over 7 days. The staff proposed are qualified Behavioral Health Technicians, which is a Bachelors Level educated and trained staff. The CJET program is supervised by a Program Coordinator with long history of management of SB&H programs, Rachel Zamora. The Program Director is Ken Curry, who has over 25 years’ experience of work with Homeless and vulnerable populations. Funding from Maricopa County will increase the current CJET program by two staff, which will be necessary to cover the costs to expand the program. Funding from Maricopa County will also work synergistically with current MMIC funding covering what MMIC does not cover. RBHA billable services are limited to what is allowable under the AHCCCS Covered Services guide. Items predominately not covered in RBHA funding are services performed inside the jail, outreach time spent looking for people in the community, and time spent on a case before intake. CJET is considered a Community Outreach Program. While there are staff offices, SB&H provides each staff will a fully mobile office and technologies to work in the community. Equipment includes a laptop computer with wireless access to the Internet and SB&H server, wireless printer, and a Smart Phone. SB&H will need to coordinate with each assigned jail for how its staff will have access to the technology and programs needed to complete documentation, team communication, and coordination from inside the jail. Minor costs will be applied for supply and travel as associated to serve the population. A General Fund has also been included in the budget. Based on experience, a general fund if permitted by the fund source, allows the staff dollars to purchase basic and fundamental goods and services that program overcome immediate challenges to moving the client successfully forward. Organizational Capacity Southwest Behavioral and Health (SB&H) is a large multi-faceted provider of Behavioral Health Services having presence in nearly every aspect of service provision in the Behavioral Health field with expansions in Integrated Care and Community Partnerships across a large variety of diverse projects state wide; serving approximately 26,000 persons/families annually. Additionally the company is the sponsor of 10 HUD Corporations providing contract oversight and management of 25 scattered site low income Special Needs Housing projects with Supportive Services. The overarching organizational goal as set in the Mission Statement is; “We Inspire people to Feel Betfer and reach their Potential, Through helping people discover their Strengths, we Improve our communities. SB&H has long served disadvantaged low income populations since inception in 1969 beginning as a federally funded program under a partnership known as St. Luke’s — Jane Wayland Community Mental Health Center. The agency was Incorporated in 1974 as a 501(c)3 non-profit. SB&H is governed by a Board of Directors comprised of approximately 15 community volunteers and manages approximately 75 million in operations; more than ample funds to cover program contingencies. Today, the company employs over 900 full time employees and has expanded throughout the State of Arizona spanning the Phoenix Metropolitan area and four Northern Arizona Counties. The company has gained international recognition for its work, training efforts, and exchange program with Sias University in Beijing, China. SB&H is the only fully APA Accredited Internship Training Program in Arizona hosting a large doctoral training program. The has relationships with a number of schools to Include Arizona State University (Social Work company and Counseling), providing Student Internships for Masters and Bachelors level students. SB&D has been in business for 43 years. The company’s main expertise lies in the public sector of Behavioral Health Services, serving low income and disadvantaged persons, and in low income special needs Public Housing. SB&E is a current Government Contractor, having an active contract with US District Court Probation Office, Agreement Number 0970-2016-206 and HUD— Continuum of Care funds Program Grant Number: AZ0091L9T021508, DUNS No.: 072443062 SB&H is also the Project Sponsor of 10 HUD Housing Corporations Supportive Assets SB&H has a Strong Internal Continuum of Assets ready to provide the proposed services and supportive adjunctive services. Supportive Company Cross Agency Assets include; Integrated Outpatient Clinics with amenities for the inclusion of Primary Care services/ Medical Assessment offering clients confidential and supportive care; Substance Abuse counseling with Opioid Addiction services; Methadone and Suboxone Services. SB&H has strong experience in employment services with a large Day Program with proven 35 plus years Vocational Work Development Programs; Supported Employment Services, Career Development Center and connections with community employers. Community Based Assets; A large In Home and Permanent Supported Housing Services program providing In Home counseling and support for housing stability based on the SAMHSA model of Permanent Supported Housing, Housing Based Case Management for 300 plus individuals and families. City of Phoenix funded Homeless Housing Program providing intensive Permanent Supportive Housing services and Street Outreach. Housing Opportunities for Persons with HIV/Aids (HOPWA) to include 70 beds in Transitional Housing and Permanent Supportive Housing Services based on a Housing First Model. SB&H is well established in work with the Legal System with a Federal Probation Services program, Misdemeanor Repeat Offenders program, working with probationers, jail systems, court systems, ADOC, and Police Department. SB&H has a large capacity for Contingency Housing with assets of 72 Independent Housing units within our 10 HUD corporations and other housing programs. Additionally, SB&H has a large presence in school based programs within 74 schools and 13 districts; A full array Prevention Programs with capacity to do Public Prevention Campaigns. The company as well operates 2 sub-acute Level 1 Hospital facilities, 8 Residential Treatment Programs, and 31 community based flex care housing and treatment programs, 22 Outpatient Clinics state wide. Proposed Budget Personnel Costs Staff Salary x 2 Full Time FTE $70,720 ERE Employee Related Expense @ 25% $17,680 Subtotal $88,400 Equipment Smart Phone $1550 Wireless Card $1440 Laptop Computer $2400 Wireless Printer $400 Subtotal $5790 Travel Vehicle Mileage $2400 Subtotal $2400 Materials and Supply General Fund- Program Supply $ 0 Office Supplies $400 Subtotal $ 400 Operating Allocation Operating Costs $5350 Administration @7% $6789 Subtotal $12,139 Total Cost Proposed, Year One $109,129