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HomeMy WebLinkAboutMINUTES - 12011987 - 2.5 TO: KBOARD OF SUPERVISORS FROM: Mark Finucane, Director (Contra Health Services Director Costa DATE: November 16, 1987 County SUBJECT: Methadone Treatment Services Contract SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: The Health Services Department recommends that the Board of Supervisors authorize the Department to contract with Bay Area Addiction Research and Treatment, Inc. for $280,000 in methadone maintenance services and with California Detoxification Program, Inca for $40,000 in detoxification ser- vices. Both contracts would become effective March 1 , 1988 with a four month transition period established for program changes. II. FINANCIAL IMPACT: The FY 1986-87 actual cost for this service was $517,755 which represented 32% of the total drug budget of $1 ,575,690 as presented in the annual drug abuse services plan and budget for FY 1986-87. After considerable study, the Health Services Department initiated an open competitive bidding process in 1987 in order to achieve the following objectives: . Reduce County cost of providing services from the present rate of $249 per month per client to approximately $165 per month per client. The County savings when applied to 180 clients per month are considerable. . Significantly improve access to methadone services for County residents who are unable to afford the $249 per month rate but are able to afford the rate of $165 per month. All clients currently pay $40 or $80 inde- pendent of their ability to pay. . Provide increased levels of prevention and counseling services for underserved groups such as cocaine abusers, I.V. methamphetamine abu- sers , pregnant substance abusers and others. These increased service levels would be provided in West, Central, and East Contra Costa County. . Improve the AIDS prevention and intervention services which are provided through the methadone service provider. . Improve services to pregnant addicts. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) [gyp ACTION OF BOARD ON D ecember 1 , .1987 APPROVED AS RECOMMENDED OTHER X The Board further AUTHORIZED the establishmenzt of a transition team to assist in the contractor change . VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: County Administrator ATTESTED December l., 1987 Auditor-Controller ---- Health Services Director PHIL BATCHELOR, CLERK OF THE BOARD OF Contractors via Health Services SUPERVISORS AND COUNTY ADMINISTRATOR M382/7-83 BY ,DEPUTY %BoaYd of Supervisors November 16 , 1987 Page 2 III. REASONS FOR RECOMMENDATION/BACKGROUND: Contra Costa County began providing methadone maintenance and detoxifica— tion services for heroin addicts in 1972. The services were directly pro— vided by the County until 1982 when the County decided to contract for the provision of these services with California Health Associates, Inc. This decision to contract for services was made in order to reduce County costs. A total of 180 maintenance and 25 detoxification clients are pre— sently served through clinics located in Pittsburg and Richmond. In 1987 the Health Services Department decided to initiate a competitive bidding process in order to establish a private pay/county subsidized system which would be more affordable for residents of Contra Costa County. The bidding process initiated by the Health Services Department utilized a Proposal Evaluation Committee to review proposals. This committee was comprised of professionals in the drug abuse treatment field as well as members of the Drug Abuse Advisory Board. Steps were taken to insure that the actual review was completed in a fair and impartial manner. The current provider, California Health Associates, Inc. , decided not to bid for the contract. The Proposal Evaluation Committee unanimously recommended that the County contract with Bay Area Addiction Research and Treatment, Inc. (B.A.A.R.T. ), and California Detoxification Programs , Inc. for methadone maintenance and detoxification services. In view of the fact that the Bay Area Addiction Research and Treatment proposal was the only proposal submitted, numerous steps were taken to verify the quality of services and financial viability of the B.A.A.R.T. and C.D.P. organizations. These verification steps included reference checks with administrators who have overseen contracts with B.A.A.R.T. ; visiting a B.A.A.R.T. facility; talking with B.A.A.R.T. clients and staff; reviewing various financial data; and researching specific studies which have reviewed co-payment in the delivery of methadone services.