Contract Request Template (Contracts; IGAs; Leases)
Date Submitted: 9-18-2023
Requesting Agency: Safety
Division:
Subject Matter Expert Name: Tien Tong
Email Address: Viet-Tien.Tong@denvergov.org <mailto:Viet-Tien.Tong@denvergov.org>
Phone Number:
Item Title & Description:
(Do not delete the following instructions)
These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).
Both the title and description must be entered between the red “title” and “body” below. Do not at any time delete the red “title” or “body” markers from this template.
title
A resolution approving and providing for the execution of a proposed Grant Agreement between the City and County of Denver and the State of Colorado Department of Human Services concerning the “FY24 Department of Safety Integrated Response” program and the funding therefor.
Approves a grant agreement with Colorado Department of Human Services, Behavioral Health Administration for $990,277 and one year for additional staffing, intermediate clinical support and treatment, integrated data sharing, and individual level wraparound client support resources across programs and initiatives, citywide. (SAFTY-202369456). The last regularly scheduled Council meeting within the 30-day review period is on 10-23-2023. The Committee approved filing this item at its meeting on 9-20-2023.
body
Affected Council District(s) or citywide?
Citywide
Contract Control Number:
SAFTY-202369456
Vendor/Contractor Name (including any “DBA”):
Colorado Department of Human Services, Behavioral Health Administration
Type and Scope of services to be performed:
Grant >$500k
Services in this grant will support connections and gaps among the different initiatives referenced above. To achieve a more optimal and integrated response to people with unmet behavioral health needs, through existing intervention police-civilian partnerships, DOS has identified the following key components for connection and resource improvement: 1) enhanced staffing to support more comprehensive service delivery and extended hours, 2) increased wraparound services including case management, peer support, transportation and other flexible client support resources, 3) intermediate clinical support and treatment, and; 4) process and service coordination, including integrated data sharing.
Integrated Navigation Hub. Denver instituted the AID Center this past November 2022 with the goal of simplifying service and program navigation for first responders and other front-line workers. The AID Center partners with and co-locates over 10 different providers that serve various key needs. The need for alternative police responses can occur 24/7 and specifically between the highest data-driven times of 2 PM and 10 PM. This grant seeks to extend the hours and capacity for security staff and a Care Coordinator to conduct screening, intake and facilitate service and resource connections.
Case Management. Service coordination extends beyond the point of navigation. Supported engagement is a critical component of service delivery that is severely under-resourced; particularly, access to varying levels of case management will be responsive to allowing people who need long-term case management support to receive it. The grant will provide resources to add two Peer Specialists and two Unlicensed Therapists/Case Managers who can work to connect people to cash, food and insurance benefits, housing providers, supportive behavioral health treatment and recovery providers, employment, and financial stability, based on assessed needs, with a long-term goal of self-efficacy and sustainability.
Wraparound services. Other necessary accompaniments to support Care Coordinators and Case Managers in addressing client health, safety and wellness include flexible wraparound service resources for basic care supplies, and to fill other gaps in resources, on a case-by-case basis, that are not already covered through insurance or other public assistance. Examples of individual client support items might include ID fees, a meal, a wheelchair, a bus ticket, etc. Transportation is also a notable barrier for the population served through this project. This grant provides wraparound resources and access to a vehicle and transportation for relevant staff to use in helping remove barriers for people to get to services.
Clinical Treatment Services. One known and significant gap to supporting timely access to the appropriate level of behavioral health care is a disconnect between first responder, outreach, supportive services, and available treatment and transition providers at the time of contact with an individual in need of supports. Best practice and literature support immediate access to the appropriate level of behavioral health care when a person requests or agrees to engage with behavioral health supports. This project identifies three key areas in supportive treatment services that are important to this integrated care model: 1) Short-Term Behavioral Health Intervention, 2) Treatment beds, and 3) Medical stabilization. DOS will subcontract with a treatment provider to deliver short-term stabilization for individuals awaiting intake to behavioral health treatment. The subcontractor(s) will be required to provide timely interventions to support patient stabilization, including therapy and medication stabilization, and transitional care as needed. The subcontractor(s) would be required to provide the infrastructure and credentialed staff necessary to meet these needs. Treatment beds in Denver continue to have wait lists and are not immediately accessible or payable, when an individual is identified and interested. This project includes resources to access treatment beds effectively and efficiently, when needed.
Process improvement and Integrated Data Information. Systems and community entities often operate under siloed processes and manage individual methods of tracking data, performance measures, and limited data-sharing. This project recognizes that immediate connections and seamless transitions importantly require a coordinated data and information sharing component. Best practice and literature emphasize continuity of care, including appropriate and timely information-sharing to improve outcomes and effectively support clients. As an integrated care model project, the goal is to create an agreed upon process to gather, share and track appropriate data that best serves the client. This project includes a PEAK process improvement oversight to optimize resources and reduce duplication through intentional, coordinated operations.
DOS values the utility of data to guide practices. The DOS data team has and continues to work intently to look at the needs and barriers around collaborative design of information sharing between system and community partners. This project proposes support for understanding business requirements and identifying a solution to important data collaboration and sharing needs, which can provide a blueprint for a product or legislation to replicate this work in other communities facing similar challenges. Additionally, gap analysis and asset mapping go hand-in-hand with the exploratory data sharing process. This exploratory process will include asset mapping of programs available, who qualifies and how, and how much capacity they have, hand off processes and assessments used to align services to presenting needs. DOS anticipates better understanding procedure and policy gaps in the process of building the integrated data information system.
Location (if applicable):
WBE/MBE/DBE goals that were applied, if applicable (construction, design, Airport concession contracts):
N/A
Are WBE/MBE/DBE goals met (if applicable)?
N/A
Is the contract new/a renewal/extension or amendment?
New
Was this contractor selected by competitive process or sole source?
No
For New contracts
Term of initial contract:
10/01/2023 - 9/30/2024
Options for Renewal:
How many renewals (i.e. up to 2 renewals)?
Term of any renewals (i.e. 1 year each):
Cost of initial contract term:
$990,277
Cost of any renewals:
Total contract value council is approving if all renewals exercised:
For Amendments/Renewals Extensions:
Is this a change to cost/pricing; length of term; terms unrelated to time or price (List all that apply)?
If length changing
What was the length of the term of the original contract?
What is the length of the extension/renewal?
What is the revised total term of the contract?
If cost changing
What was the original value of the entire contract prior to this proposed change?
What is the value of the proposed change?
What is the new/revised total value including change?
If terms changing
Describe the change and the reason for it (i.e. compliance with state law, different way of doing business etc.)