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Agenda 02/14/2017 Item #16D802/14/2017 EXECUTIVE SUMMARY Recommendation to approve Amendment No. 4 to the Agreement with the Department of Children and Families for the Criminal Justice Mental Health Substance Abuse Grant, Amendment No. 3 with the Collier County Sheriff’s Office, and reinstate National Alliance on Mental Illness of Collier County’s subagreement as well as approve the associated amended grant budget and application. OBJECTIVE: To provide additional forensic intensive reintegration services to those persons involved or are at risk of involvement with the justice system in Collier County. CONSIDERATIONS: The Criminal Justice Mental Health Substance Abuse (CJMHSA) program was established by the State to provide funding to counties. These funds can be used to plan, implement, or expand initiatives that increase public safety. The fund can also be used to avert increased spending on criminal justice, and improve the accessibility and effectiveness of treatment services for adults and juveniles who have a mental illness, substance abuse disorder, or co-occurring mental health and substance abuse disorders and who are in, or at risk of entering, the criminal or juvenile justice systems. On June 10, 2014, the Board approved the County’s agreement with the Department of Children and Families (DCF) and subsequent subrecipient agreements with David Lawrence Mental Health Center, Collier County Sheriff’s Office, and National Alliance on Mental Illness (NAMI) of Collier County, Inc. for the CJMHSA program (Agenda Item 16D9). The agreements became effective July 1, 2014 and will expire June 30, 2017. On September 9, 2014, the Board approved the First Amendment which added provisions for proper accountability (Agenda item 16F1). On November 18, 2014, the Board approved the Second Amendment to modify the subagreement with NAMI to reflect a staffing change and add State and Federal laws, rules, and regulations (Agenda item 16D6). On December 1, 2014, Community and Human Services (CHS) received notification from NAMI of Collier County that they wanted to terminate their agreement. On June 23, 2015, the Board approved the Third Amendment to the master agreement with Collier County and the Department of Children and Families, which deleted NAMI as a subcontractor and the Second Amendment to CCSO and DLC. (Agenda item 16D10). On November 10, 2016, the Collier County Sheriff’s Office notified CHS that they were anticipating that they would have an unexpended balance of $59,961 during the final year of the grant cycle. CHS subsequently worked with DCF to reallocate the funds and make revisions to the master agreement and subsequent CCSO subrecipient agreement. Accordingly, the budget was modified by reducing the personnel line item by $33,715 and revising the FTE allocation. The remaining $26,246 will still be allocated to CCSO. The following table is a summary of the re-allocated funds and the changes to the allocated FTEs: 16.D.8 Packet Pg. 708 02/14/2017 CCSO ($33,715) NAMI $16,000 CHS $17,715 .81Discharge Planner (Year 3) .821 Discharge Planner (Year 3) .8 Peer Specialist .25 Grant Coordinator .20 Accountant .097 Operations Coordinator MATCH CCSO: No reduction on match NAMI $18,588.15 CHS: $0 .5 CIT Coordinator 0.15 Executive Director/Program Director .06CFO Applying the budget reductions, CHS reached out to NAMI to determine if the available funds could be utilized. NAMI is a subrecipient in the upcoming CJMHSA grant 2017-2020, which was recently awarded to Collier County. These funds will assist NAMI in hiring and initiating service before the commencement of the new cycle. NAMI will hire a .8 FTE peer specialist to provide services such as resource coordination, supported employment, motivational interviewing, supported housing, group counseling, and assistance with the attainment of disability benefits. In summary, the following changes have been made to CCSO’s subrecipient agreement in the third amendment: 1. Extend the contract term 2. Reduce budget 3. Revise the FTE allocation The master agreement between DCF and Collier County is also amended to reflect the following changes: 1. Add NAMI as a subcontractor 2. Increase budget for administration The following changes were made to NAMI’s subrecipient agreement: 1. All references to Housing, Human and Veteran Services have been amended to reflect the current name for the division: Community and Human Services 2. Exhibit A amended to remove paragraphs A1-7 and A1-8 3. Exhibit B-8.2 amended Contract Limits 4. Modify Exhibit C-2.1 Staffing to reflect staffing change 5. Add Exhibit C-2.3.7 to reflect required source documentation per DCF 6. Modify Exhibit C-2.4.1.1 to reflect the requirement of quarterly source documentation 7. Exhibit F-3 and F-7 have been modified to reflect the new budget in funds and match 8. Exhibit G and G-1 were replaced 9. Board directed Corrective Action language were added 10. Exhibit I, State and Federal Laws, Rules and Regulations have also been added as required per DCF 11. Provisions for proper accountability over state resources and a property clause for the purchase of tangible property 12. Extends the contract term The application was amended at the request of DCF to reallocate money and services and reflects the following changes: 1. Add NAMI as a subcontractor 2. Update Planning Council Members 3. Replace Corizon with Armor as a designated jail healthcare service provider 16.D.8 Packet Pg. 709 02/14/2017 4. Update key personnel roles, level of effort, and cost FISCAL IMPACT: The proposed changes will provide a net zero effect on the overall program budget. The amount that was reduced from Collier County Sheriff’s Office will be allocated to NAMI and the administration of the program by the Community and Human Services to utilize the resources more efficiently. The funds will remain in Fund 707 Project 33332. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote for Board approval. - JAB RECOMMENDATION: That the Board of County Commissioners approve and authorize the Chairman to sign the Fourth Amendment to the Agreement with the Department of Children and Families for the Criminal Justice Mental Health Substance Abuse Grant, Third Amendment with the Collier County Sheriff’s Office, reinstate NAMI of Collier County’s subagreement, and approve the amended grant budget and application. Prepared by: Rachel Brandhorst, Grants Coordinator, Community and Human Services ATTACHMENT(S) 1. DCF Amendment No.4 (PDF) 2. CCSO Amendment No. 3 (PDF) 3. CJMHSA Revised Application (PDF) 4. NAMI Agreement CJMHSA-003 (PDF) 5. NAMI Exhibits (PDF) 6. Exhibit G (PDF) 7. Exhibit G-1 (PDF) 8. Exhibit I-State and Federal Laws Rules and Regulations _revised 08-14-14_ (PDF) 16.D.8 Packet Pg. 710 02/14/2017 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.8 Item Summary: Recommendation to approve Amendment No. 4 to the Agreement with the Department of Children and Families for the Criminal Justice Mental Health Substance Abuse Grant, Amendment No. 3 with the Collier County Sheriff’s Office, and reinstate National Alliance Mental Illness of Collier County’s subagreement as well as approve the associated amended grant budget and application. Meeting Date: 02/14/2017 Prepared by: Title: Grants Coordinator – Community & Human Services Name: Rachel Brandhorst 01/25/2017 3:01 PM Submitted by: Title: Division Director - Cmnty & Human Svc – Public Services Department Name: Kimberley Grant 01/25/2017 3:01 PM Approved By: Review: Community & Human Services Blanca Aquino Luque Additional Reviewer Completed 01/26/2017 8:35 AM Public Services Department Joshua Hammond Additional Reviewer Completed 01/26/2017 9:48 AM Public Services Department Kimberley Grant Additional Reviewer Completed 01/27/2017 8:37 AM Community & Human Services Maggie Lopez Additional Reviewer Completed 01/27/2017 8:52 AM Public Services Department Amanda O. Townsend Additional Reviewer Completed 01/30/2017 2:27 PM Public Services Department Hailey Margarita Alonso Level 1 Division Reviewer Completed 01/31/2017 10:01 AM Grants Erica Robinson Level 2 Grants Review Completed 01/31/2017 2:18 PM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 01/31/2017 4:27 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 01/31/2017 5:05 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 01/31/2017 5:25 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 02/01/2017 9:48 AM Budget and Management Office Ed Finn Additional Reviewer Completed 02/02/2017 3:14 PM Grants Therese Stanley Additional Reviewer Completed 02/03/2017 10:13 AM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 02/06/2017 10:07 PM Board of County Commissioners MaryJo Brock Meeting Pending 02/14/2017 9:00 AM 16.D.8 Packet Pg. 711 16.D.8.a Packet Pg. 712 Attachment: DCF Amendment No.4 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.a Packet Pg. 713 Attachment: DCF Amendment No.4 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.a Packet Pg. 714 Attachment: DCF Amendment No.4 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.a Packet Pg. 715 Attachment: DCF Amendment No.4 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.a Packet Pg. 716 Attachment: DCF Amendment No.4 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.b Packet Pg. 717 Attachment: CCSO Amendment No. 3 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.b Packet Pg. 718 Attachment: CCSO Amendment No. 3 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.b Packet Pg. 719 Attachment: CCSO Amendment No. 3 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.b Packet Pg. 720 Attachment: CCSO Amendment No. 3 (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet Pg. 721 Attachment: CJMHSA Revised Application (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet Pg. 722 Attachment: CJMHSA Revised Application (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet Pg. 723 Attachment: CJMHSA Revised Application (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet Pg. 724 Attachment: CJMHSA Revised Application (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet Pg. 725 Attachment: CJMHSA Revised Application (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.c Packet 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CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 774 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 775 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 776 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 777 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 778 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 779 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 780 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 781 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.e Packet Pg. 782 Attachment: NAMI Exhibits (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.f Packet Pg. 783 Attachment: Exhibit G (2652 : CCSO Amendment No.3/NAMI Agreement) 16.D.8.g Packet Pg. 784 Attachment: Exhibit G-1 (2652 : CCSO Amendment No.3/NAMI Agreement) EXHIBIT I - STATE AND FEDERAL LAWS, RULES, AND REGULATIONS The provider and its subcontractors shall comply with all applicable state and federal laws, rules and regulations, as amended from time to time, that affect the subject areas of the contract. Authorities include but are not limited to the following: A2-1 Federal Authority Mental Health 42 U.S.C. ss. 300x, et. seq. Substance Abuse Prevention and Treatment Block Grant (SAPTBG) 42 U.S.C. ss. 300x-21 et. seq. 45 C.F.R. pt. 96 Restrictions on expenditures of SAPTBG 45 C.F.R. s. 96.135 Substance Abuse-Confidentiality 42 C.F.R., pt. 2 Health Insurance Portability and Accountability Act (HIPAA) 45 C.F.R. pt. 164 Social Security Income for the Aged, Blind and Disabled 20 C.F.R. pt. 416 Endorsement and Payment of Checks Drawn on the United States Treasury 31 C.F.R. pt. 240 Temporary Assistance to Needy Families (TANF) 42 U.S.C. ss. 601, et. seq. 45 C.F.R., pt. 260 Projects for Assistance in Transition from Homelessness (PATH) 42 U.S. C. s. 290cc-21 et. seq. 42 C.F.R., pt. 54 Americans with Disabilities Act of 1990 42 U.S. C. ss. 12101 et. seq. A2-2 FLORIDA STATUTES Child Welfare and Community Based Care Ch. 39, F.S., Proceedings Relating to Children Ch. 119, F.S., Public Records Ch. 402, F.S., Health and Human Services; Miscellaneous Provisions Ch. 435, F.S., Employment Screening Ch. 490, F.S., Psychological Services 16.D.8.h Packet Pg. 785 Attachment: Exhibit I-State and Federal Laws Rules and Regulations _revised 08-14-14_ (2652 : CCSO Amendment No.3/NAMI Agreement) Ch. 491, F.S., Clinical, Counseling and Psychotherapy services Ch. 1002, F.S., Student and Parental Rights and Educational Choices Substance Abuse and Mental Health Services Ch. 381, F.S., Public Health General Provisions Ch. 386, F.S., Particular Conditions Affecting Public Health Ch. 395, F.S., Hospital Licensing and Regulation Ch. 394, F.S., Mental Health Ch. 397, F.S., Substance Abuse Services Ch. 400, F.S., Nursing Home and Related Health Care Facilities Ch. 414, F.S., Family Self Sufficiency Ch. 435, F.S., Employment Screening Ch. 458, F.S., Medical Practice Ch. 459, F.S., Osteopathic Medicine Ch. 464, F.S., Nursing Ch. 465, F.S., Pharmacy Ch. 490, F.S., Psychological Services Ch. 491, F.S., Clinical, Counseling and Psychotherapy Services Ch. 499, F.S., Drug, Cosmetic and Household Products Ch. 553, F.S., Building Construction Standards Ch. 893, F.S., Drug Abuse Prevention and Control S. 409.906(8), F.S., Optional Medicaid – Community Mental Health Services Developmental Disabilities Ch. 393, F.S., Developmental Disabilities Adult Protective Services Ch. 415, F.S., Adult Protective Services Forensics Ch. 916, F.S., Mentally Deficient and Mentally Ill Defendants. Ch. 985, F.S., Juvenile Justice; Interstate Compact on Juveniles S. 985.19, F.S., Incompetency in Juvenile Delinquency Cases S. 985.24, F.S., Interstate Compact on Juveniles; Use of detention; prohibitions. State Administrative Procedures and Services Ch. 120, F.S., Administrative Procedures Act Ch. 287, F.S., Procurement of Personal Property and Services Ch. 815, F.S., Computer - Related Crimes Ch. 817, F.S., Fraudulent Practices 16.D.8.h Packet Pg. 786 Attachment: Exhibit I-State and Federal Laws Rules and Regulations _revised 08-14-14_ (2652 : CCSO Amendment No.3/NAMI Agreement) S. 112.061, F.S., Per diem and Travel Expenses S. 112.3185, F.S., Additional Standards for State Agency Employees S. 215.422, F.S., Payments, Warrants & Invoices; Processing Times S. 216.181(16)(b), F.S., Advanced funds invested in interest bearing accounts A2-3 FLORIDA ADMINISTRATIVE CODE (RULES) Child Welfare and Community Based Care Ch. 65C-12, F.A.C., Emergency Shelter Care Ch. 65C-13, F.A.C., Substitute Care of Children Ch. 65C-14, F.A.C., Group Care Ch. 65C-15, F.A.C., Child Placing Agencies Substance Abuse and Mental Health Services Ch. 65C-12, F.A.C., Emergency Shelter Care Ch. 65D-30, F.A.C., Substance Abuse Services Office Ch. 65E-4, F.A.C., Community Mental Health Regulation Ch. 65E-5, F.A.C. , Mental Health Act Regulation Ch. 65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential Services Rules Ch. 65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units, Short Term Residential Treatment Programs Ch. 65E-14, F.A.C., Community Substance Abuse and Mental Health Services-Financial Rules Ch. 65E-15, F.A.C., Continuity of Care Case Management Ch. 65E-20, F.A.C., Forensic Client Services Act Regulation Ch. 65E-26, F.A.C., Substance Abuse and Mental Health Priority Populations and Services Financial Penalties Ch. 65-29, F.A.C. Penalties on Service Providers Reduction or withholding of funds Ch. 65-29.001, F.A.C., Financial Penalties for a Provider’s Failure to Comply with a Requirement for Corrective Action A2-4 MISCELLANEOUS Department of Children and Families Operating Procedures CFOP 155-10, Services for Children with Mental Health & Any Co-occurring Substance Abuse Treatment Needs In Out of Home Care Placements CFOP 215-6, Incident Reporting and Client Risk Prevention Federal Cost Principles OMB Circular A-21, Cost Principles for Educational Institutions OMB Circular A-87, Cost Principles for State, Local and Indian Tribal Governments 16.D.8.h Packet Pg. 787 Attachment: Exhibit I-State and Federal Laws Rules and Regulations _revised 08-14-14_ (2652 : CCSO Amendment No.3/NAMI Agreement) OMB Circular A-102, Grants and Cooperative Agreements with State and Local Governments OMB Circular A-122, Cost Principles for Non-profit Organizations Audits OMB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations Ch. 215.97, F.S. , Florida Single Audit Act Comptrollers Memorandum #03 (1999-2000): Florida Single Audit Act Implementation Financial Assistance Comptrollers Memorandum #04 (2005-2006): Compliance Requirements for Agreements Administrative Requirements 45 C.F.R., pt. 74 - Uniform Administration Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, other Non-Profit Organizations and Other Commercial Organizations 45 C.F.R., pt. 92 - Uniform Administration Requirements (State and Local Governments)\ OMB Circular A110, Uniform Administrative Requirements for Grants and Other Agreements Data Collection and Reporting Requirements S. 397.321(3)(c), F.S., Data collection & dissemination system S. 394.74(3)(e), F.S., Data Submission S. 394.77, F.S., Uniform management information, accounting, and reporting systems for providers. S. 394.9082, F.S., Behavioral health managing entities PAM 155-2, Mental Health and Substance Abuse Data Measurement Handbook    16.D.8.h Packet Pg. 788 Attachment: Exhibit I-State and Federal Laws Rules and Regulations _revised 08-14-14_ (2652 : CCSO Amendment No.3/NAMI Agreement)