Interoffice Memorandum
DATE: December 11, 2024
TO: Mayor Jerry L. Demings and County Commissioners
FROM: Carrie Mathes, CFCM, NIGP-CPP, CPPO, C.P.M., Manager II, Procurement Division
CONTACT: Isabelle Klier-Graham, Manager, Mental Health and Homelessness Division
PHONE: 407-836-3187
SUBJECT: Approval of Contract Y25-2214, Wraparound Orange Services for Orange County Children and Families
ACTION REQUESTED:
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Approval of Contract Y25-2214, Wraparound Orange Services for Orange County Children and Families with The Devereux Foundation dba Devereux Advanced Behavioral Health, in the total contract award amount of $652,769.93 for a one-year term. Further request Board authorization for the Procurement Division to renew the contract for four additional one-year terms. ([Community and Family Services Department Mental Health and Homelessness Division] Procurement Division)
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PROCUREMENT:
This contract will provide intensive care coordination and management for children, adolescents, and young adults experiencing behavioral, emotional, mental health, or substance abuse disorders and their families through its Wraparound Orange program. The period of performance is February 1, 2025 through January 31, 2026.
FUNDING:
Funding is available in account number 0001-062-7500-8610.
APPROVALS:
The Mental Health and Homelessness Division concurs with this request.
REMARKS:
In accordance with the Code of Ordinances, Part I, Chapter 17, Article III, Section 17-286 - Application and exclusions, agreements between the Board and nonprofit organizations are excluded from competitive procurement requirements.
This service provides intensive, evidence-based, thorough, and high-fidelity case management to youth experiencing mental health, behavioral, and/or emotional concerns as well as their caregivers and families. Wraparound implementation plays a vital role in helping to prevent psychiatric hospitalizations, arrests, and out-of-home placements. Through the approach’s integration of both community services and the families’ own natural supports, Wraparound facilitates interventions that sustain long-term success. The ultimate outcome of the service is to keep children safe in the least restrictive environment while improving mental health, legal, academic, and family functioning outcomes.
This project will further sustain the capacity and quality of services to children and families exhibiting symptoms of a serious emotional disturbance. This is accomplished, in part, by diversifying the types of services available to the community, including Wraparound to youth and families experiencing a mental health crisis and ongoing support needs.
Program Goals:
1. To provide timely, high-fidelity wraparound services, in the least restrictive environment, by trained professionals and certified peer specialists.
2. To reduce identified concerns or needs, build resilience, and improve youth and family functioning while empowering them in achieving successful and positive long-term outcomes.
3. To support and empower children/youth and their families as crises arise through the use of wraparound principles.
4. To enhance the quality of life of the children/youth and family served by linking and supporting the integration of the individual into the community with Community and Family Services child and family team meetings, community-based services, and natural supports.
5. To provide culturally and linguistically competent services based on race, gender, nationality, sexuality, and religion and utilize best practices when interpretation or translation services are needed. Services will be available to accommodate a minimum of one of the two most widely used languages outside of English in the community (Spanish and/or Haitian-Creole), including use of bilingual staff and translation of wraparound documents in these languages, for advertising, referral, and other services.
Enrollment/referral criteria includes any child/youth, ages 0-21, residing in Orange County, Florida who currently, or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet the diagnostic criteria specified within the Diagnostic and Statistical Manual V-TR; and that resulted in functional impairment which substantially interferes with or limits the child's role or functioning in the family, school, or community activities, as may be evidenced by events, including, but not limited to, the following: an arrest, a civil citation, a law enforcement contact in the past 12 months, suspensions or expulsions from school, truancy, running away, or any other events which result in the child, youth or young adult becoming at risk for out of home placement into a juvenile justice facility, a residential mental health placement or child welfare placement (foster home or group home).
Families are frequently referred through our preferred provider network. The agency primarily receives referrals through community partners, including but not limited to, Orange County Public School social workers and school resource officers as well as the Department of Juvenile Justice. Although enrollment often fluctuates throughout the year, particularly decreasing in the summer months, it is estimated that up to 100 youth will be served through this contracted service per contract year.
Currently, the County serves as the primary source of funding. According to the provisions of this contract, the agency will develop and provide monthly reports on a long-term financial sustainment plan. This plan will involve utilizing community-based wraparound services (Code-H2022) as an alternative to other codes for children’s services with all Florida Medicaid Managed Medical Assistance plans with which the agency has a contractual relationship.