BOS Agenda Date: August 19,2003
Agenda ttem No. 9

County of Santa Clara
Santa Clara Valley Health & Hospital

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System
Alcohol & Drug Services

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Reviewed by: Amelia Whitlow
Administrative Services

Manager II

Submitted by: Robert Gamer
Director, Department of
Alcohol and Dmg
Services
DATE:

August 19, 2003

TO:

Board of Supervisors

FROM:

Ac
Robert Sillen

Executive Director, Santa Clara Valley Health & Hospital System
SUBJECT:

Acceptance of Notice of Grant Award(NGA)for $1.2 Million from the Substance Abuse and Mental
Health Services Administration(SAMHSA)

RFroMrvrFNnF.n action

Consider recommendations relating to grant award for $1.2 Million from the Substance Abuse and Mental Health
Services Administration (SAMHSA).

Board ofSupen.'isors: Donald F. Gage, Blanca Alvarado, Pete McHugh,Jim Beall, Liz Kniss
Acting County' Executive: Peter Kutras Jr.
1

BOS Agenda Date ; August 19, 2003
Agenda Item No. 9

Possible action:

a.

Accept Notice of Grant Award(NGA)of $1.2 million over three years ($400,000 per
year beginning 6/1/03)from SAMHSA,an agency of the Federal Department of Health
and Human Services, to expand Dual Diagnosis services in Department of Alcohol and
Drug Services(DADS)and Santa Clara County Superior Court.
Approve Request for Appropriation Modification No. 019 - $ 400,000 increasing revenue and expenditures in
the Department of Alcohol and Drug Services.(4/5 Roll Call Vote)

Q

Introduction and preliminary adoption of Salary Ordinance No. NS-5.03.8 amending Santa Clara County Salary
Ordinance No. NS-5.03.8 relating to the compensation of employees adding 1.0 Psychiatric Social Worker II

(Y41) or Marriage Family Therapist II (P97)or Psychiatric Social Worker I(Y42) or Marriage Family Therapist
I (P96)to Department of Alcohol and Drug Services.(Roll Call Vote to waive reading, Roll Call Vote to adopt)

' Approve delegation of authority to Director, Alcohol and Drug Services, to execute contracts with providers
selected by a competitive bid process relating to dual diagnosis treatment services in amounts not to exceed
$132,000 for four residential treatment beds and $80,000 for 20 outpatient counseling slots for period October 1,
2003 to June 30, 2004 and to execute amendments to the agreement to increase the maximum financial

obligation in an amount not to exceed 10%, to amend terms of the the agreement such as units of service, or any
other provisions, following approval by County Counsel as to form and legality. Delegation of authority shall
expire on June 30, 2004.

FTSCAT.IMPLICATIONS

There is no negative impact to the County General Fund as a result of this action. Acceptance of the Notice of Grant

Award allows $1.2 million dollars to flow into Santa Clara County over threee years. The Spending Plan (Attachment 1)
outlines the use of these funds for FY 04 totaling $400,000. The plan has been reviewed and accepted by the Steering
Committee which includes members from Department of Alcohol and Drug Services, Mental Heath, Superior Court,
MH Drug Court, District Attorney, Public Defender and Probation departments.
REASONS FOR RECOMMENDATION

Accepting this three-year $1.2 million grant award and approving the related budget modification and salary ordinance
amendment will allow the County to support a Dual Diagnosis Drug Court and provide the assessment and treatment
required for it to operate. Acceptance of the Notice of Grant Award(NGA)constitutes execution of the contract between
the County and the federal Department of Health and Human Services.

An additional benefit is a projected savings of$3 million in County costs of incarceration for these clients that would

probably fail the regular drug court and end up back in jail without these specialized services. Authorizing the Director,

Board of Supervisors: Donald F. Gage, Blanca Alvarado, Pete McHugh,Jim Beall, Liz Kniss
Acting County Executive: Peter Kutras Jr.
2

BOS Agenda Date: August 19,2003
Agenda Hern No.9

Alcohol and Drug Services to execute contracts with providers selected in a competitive bid process will allow theSocial

Department to move quickly to implement the grant program as required by the granting agency. The Psychiatric

Worker/Marriage & Family Therapist is needed as a case manager to assess clients and link them with the appropriate

services.

RACKGROUND

and
Working in conjunction with the Superior Court and the Mental Health Department, the Department of Alcohol
the
creation
Drug Services submitted a proposal to SAMHSA in June of 2002 in response to a Request for Proposals for

to provide
of new, or the enhancement of existing, Drug Treatment Courts. The County's proposal was designedTreatment
Court
additional services to under-served dual diagnosis clients in the special Friday sessions of the Drug

County $3
operated by Judge Stephen Manley of the Superior Court. It was projected that these services would save the
million in the costs of incarcerating clients who were most likely to fail the regular Drug Treatment Court and end up
back in jail. Most of these clients are not eligible to receive ongoing services from the Department of Mental Health and
were therefore the most likely to fail in alcohol and drug recovery programs and consequently in the Drug Treatment

Court.

Because these dual diagnosis clients had such a high failure rate, they were often held in jail for unnecessarily long
periods of time. The grant proposal provided an opportunity to fill the gaps in the two systems. Funding was requested
for a case manager who could assess clients and connect them to the most appropriate services and then follow up to
ensure that clients actually had their needs met at the programs to which they were referred. Because alcohol/drug

services. To
funding IS not adequate to meet the need, clients frequently experience delays in receiving access to needed
avoid the consequences of this shortfall of services special residential treatment beds and outpatient slots were requested
which will be controlled by the Dual Diagnosis Court team on behalf of the dual diagnosis clients.

rONSEOTJENCES OF NEGATIVE ACTION

Failure to approve the recommended actions would result in the loss of$1.2 million to the County in federal funding
which would impact the potential of the County saving substantial amounts in unnecessary incarceration costs, and
impact the success of participants in the Dual Diagnosis Drug Treatment Court.
ATTACHMENTS

•(Transmittal submitted on Aug 12, 2003 11:08:39 AM - PDF Version)
•SAMHSA Spending Plan (Miscellaneous)

• F85 (Appropriation Modification (F-85))
• NS-5.03.8 (Ordinances)

Board of Supervisors: Donald F. Gage, Blanca Alvarado, Pete McHugh,Jim Beall, Liz Kniss
Acting Count/ Executive: Peter Kutras Jr.

3

BOS Agenda Date : August 19. 2003
Agenda Item No. 9

• Notice of Grant Award (Miscellaneous)

Board of Supervisors: Donald F, Gage, Blanca Alvarado, Pete McHugh,Jim Beall, Liz Kniss
Acting County Executive: Peter Kutras Jr.
4