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HomeMy WebLinkAboutResolution - 2023-R0578 - Amendment No. 1 To FDP Subaward Agreement UTAUS-SUB00001039, UTA And DSHS - 12/05/2023Resolution No. 2023-R0578 Item No. 5.15 December 5, 2023 RESOLUTION BE IT IZ�SOLVrD BY TIII� CITY COUNCIL OP 1'IIL CITY Ol� LUBBOCK: TIIAT the Mayor of thc City of I,ubbock is hercby authorizcd and dircctcd to execute for and on behalf of thc City of Lubbock, Amendment No. 1 to PDY Subaward Agrcement UTAUS-SUB00001039, by and between the City of Lubbock and '1'he University of Texas at Austin, and related documents, under thc IIealth and IIuman Services Commission's Substance Abuse Innovative IIealing Center Project Grant Program. Said Amcndment is attached hereto and incorporatcd in this Resolution as if fully set forih herein and shall be included in the minutcs of thc City Council. Passed by the City Council on December �, 2023 _ AT 'I:S1': Couriney Paz, City Sccrctary APPROV�D AS "1'O CON`1'1;N1': '!' I' Nl:, MAYOR � � Bill IIow on, Dcputy City anagcr APPROVI�D AS "1'O 1�ORM: Rachacl roster, Assistant City Attorncy ccdocslllRES.Subaward Agreement U I' Sub Abusc Innovative Flealing Amendment No. 1 11.7.23 DocuSign Envelope ID: EC84BE7D-BFD7-4F79-87CB-E23B7BCF9E48 PTE Information Entity Name Legal Address: Attachment 3A Pass -Through Entity (PTE) Contacts The University of Texas at Austin 3925 W. Braker Lane, WPR Building Suite 3.340, Stop A9000 Austin, TX 78759-5316 Website: I https://research.utexas.edu/osp/ Subaward Number: UTAUS-SU600001039 PTE Contacts Central Email: osp@austin.utexas.edu Principal Investigator Name: I Stacey Manser Email: stacey.manser@austin.utexas.edu Telephone Number: (512) 232-9085 Administrative Contact Name: Amy Schryver Email: amy.schryver@austin.utexas.edu Telephone Number: (210) 464-7555 COI Contact email (if different to above): Financial Contact Name: Jennifer Winkelman Email: jennifer.winkelman@austin.utexas.edu Telephone Number: (617) 694-4552 Email invoices?O Yes O No Invoice email (if different): Authorized Official Name: lAssociate Director of Contracting Email: osp@austin.utexas.edu Telephone Number: (512) 471-6424 PI Address: 1823 Red River Street Austin, Texas 78712 Administrative Address: 3925 W. Braker Lane, WPR Building Suite 3.340, Stop A9000 Austin, TX 78759-5316 Invoice Address: Please email invoices to Jennifer Winkelman, jennifer.winkelman@austin.utexas.edu. DocuSign Envelope ID: EC84BE7D-BFD7-4F79-87CB-E23B7BCF9E48 STATEMENT OF WORK City of Lubbock TARGET POPULATION The population of focus will include families and youth who have experienced Adverse Childhood Experiences, multigenerational trauma or have emergent behavioral health needs that have been exacerbated due to COVID-19.Outreach efforts will primarily occur in zip codes and communities that are observably underserved and marginalized. The IHCP will be located in Lubbock County but open to anyone who lives in the 41 counties in the Panhandle and South Plains of West Texas. Region 1 encompasses Armstrong, Bailey, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth, Crosby, Dallam, Deaf Smith, Dickens, Donley, Floyd, Garza, Gray, Hale, Hansford, Hartley, Hemphill, Hockley, Hutchinson, King, Lamb, Lipscomb, Lynn, Moore, Motley, Ochiltree, Oldham, Parmer, Potter, Randall, Roberts, Sherman, Swisher, Terry, Wheeler, and Yoakum counties. INTERVENTION The Strengthening Families Program will be the primary intervention because it is evidence -based and has been shown to have a variety of positive outcomes for families. Strengthening Families is an evidence -based parenting program designed to help parents and kids develop happier family relationships, improve mental health outcomes, and help decrease youth alcohol and drug use, violence, and delinquent behavior. SFP consists of a 10- to 14-week*, two-hour skills course with separate parent, teen, and child lessons held during the first hour, followed by a family practice session during the second hour. In addition to this program, staff will be trained to facilitate a women's group that will increase protective factors and anger management. The community health workers delivering these programs will also utilize a community health worker model to build relationships with those they serve and offer support as they complete the individualized interventions selected. Program staff will also work with a holistic nutrition practitioner to provide nutrition and stress management classes to increase overall well-being. These programs were selected because there is a need for all of these services to increase individuals' overall well-being in the Region. The utilization of a few interventions will allow community health workers to develop personalized plans for individuals who need additional support but don't need a referral to treatment. Currently, very few interventions are available at a lower level of care, so these will fill a gap in services. The Strengthening Families Program will be offered twice a year for a total of two 14-week sessions. In between sessions, other classes and opportunities will be provided for program participants, such as anger management, a women's self-esteem group, and wellness (including nutrition and stress management) classes. All programming and case management will occur at the Health Department's Community Engagement Room, the conference room, and individualized counseling rooms as needed. The new health department will be in a centralized location in Lubbock to be easily accessible for those participating in services. The new site will open in January 2024. SCREENING and REFERRAL The instruments that will be utilized will include the Personal Well-being Index (both for adults and youth) to measure overall program outcomes; the PRAPARE Protocol for responding to and assessing patients' assets, risks, and experiences for social determinants of health; CRAFFT for youth and Tobacco, Alcohol, Prescriptions, and other Substance (TAPS) for adult substance use; and the Patient Health Questionnaire for both youth and adult mental health screening. The IHCP will complete 3,000 screenings in Fiscal Year 23 and 4,500 screenings in Fiscal Years 24 and 25. Depending on the preference of the individual- the primary screening will take place over the phone or in person. If the screening indicates a need for referral to treatment services, a referral to OSAR or the UOGU0j9rI CrlVerope IU. C�.09DCrU-orur-yrry-ort,o-ccJoro�.ryc4o specific treatment entity will occur. The community health workers will utilize the LBK Community Network to make referrals to providers in the Region and follow up with those referred and the providers to ensure that the appropriate services are received. If the individual does not indicate a need for referral to treatment services, they will be referred to the IHCP. After this referral, an onboarding meeting will be set up in person, and an individualized IHCP plan will be written for the individual. They will be enrolled in the most suitable intervention and continue to receive case management services and referrals to agencies that can assist with meeting the needs of social determinants of health. The community health workers will conduct all screenings and make referrals as appropriate. The City of Lubbock Health Department receives substance use disorder funding from Texas Health and Human Services and subcontracts to various inpatient and outpatient providers in the Panhandle and South Plains. Contracts are currently in place with the Cenikor Foundation, Grace Manor, Daily Recovery Services, and Texas Tech University Health Sciences Center. There is an active Request for Proposal to increase the number of providers in this network. Since the department also manages the treatment contracts making referrals to substance use disorder treatment and coordination of services is simple and effective. Beyond current treatment partnerships, the health department will work closely with many youth -serving organizations such as Hub City Outreach Center, the Texas Boys and Girl's Ranch, St. Francis, StarCare, and the YWCA, which will be utilized to assist in providing additional services to youth. In addition, the health department has a strong working relationship with the Texas Tech University Department of Psychiatry, which is opening a new relational health clinic for youth. The health department runs a program called LBK Community that addresses social determinants of health. This program is a network of 31 partner health and social agencies that have agreed to accept referrals to and from each other. The IHCP will be added to this network at no charge to help link individuals to these partner agencies. The LBK Community Network utilizes the Unite Us platform. The LBK Community will be used to ensure referrals follow through with referrals. The online referral network allows community health workers to make referrals quickly and effectively. Once referrals are made, the case manager will follow up with the individual weekly and encourage them to participate in interventions as needed. The case manager will follow up one week before graduation for individuals in treatment to provide additional support or resources. Targeted Number Screened per Month January February March April May June July August September October 2023 2024 2025 Social Determinants of Health Substance Use Mental Health Social Determinants of Health Substance Use Mental Health Social Determinants of Health Substance Use Mental Health Target Target Target Target Target Target Target Target Target 100 751 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 1001 75 751 1001 751 751 100 75 75 DocuSign Envelope ID: EC84BE7D-BFD7-4F79-87CB-E23B7BCF9E48 November December TARGET SERVED 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 100 75 75 2023 2024 2025 Number Served: 2000 3000 3000 January 166 250 250 February 166 250 250 March 166 250 250 April 166 250 250 May 167 250 250 June 167 250 250 July 167 250 250 August 167 250 250 September 167 250 250 October 167 250 250 November 1671 250 250 December 1671 250 250 MEASURES The Personal Well-being Index (both for adults and youth) will be the instrument utilized to measure overall program outcomes. Before a referral and completion of other appropriate screenings, individuals will complete the Personal Well-being Index to establish a baseline level. Once an individual has either completed treatment or their individualized intervention plan, a case manager will complete the Personal Well-being Index to identify improvement in overall wellness or the need for additional support. After this, the case manager will identify other services for the individual or schedule a follow-up meeting in one month. This process will continue for six months to ensure that individuals have the necessary services beyond completing treatment, referral to other services, or the IHCP intervention. The City of Lubbock Health Department agrees to complete outcome measures with participants, submit data to UT-TIEMH, and participate in selecting cross-IHCP outcome instruments and IHCP evaluation HCP OUTCOMES MEASURE Curriculum or HC Intervention: Strengthening Families Program UVI UJIvl I L-V.Vvv ILl. LI,iVYULI L/-UI V / - , / J-V I I.aJ-LGJIJI UVI .— Duration (# days/hours per session) of HC Curriculum or HC Intervention: Outcome Measure(s) Selected: Number of Items: Proposed Timing of Measurement: Curriculum or HC Intervention: Duration (# days/hours per session) of HC Curriculum or HC Intervention: Outcome Measure(s) Selected: Number of Items: Proposed Timing of Measurement: Curriculum or HC Intervention: Duration (# days/hours per session) of HC Curriculum or HC Intervention: Outcome Measure(s) Selected: Number of Items: Proposed Timing of Measurement: Curriculum or HC Intervention: Duration (# days/hours per session) of HC Curriculum or HC Intervention: Outcome Measure(s) Selected: Number of Items: Proposed Timing of Measurement: 12 Sessions- 1.5 hours per session- 12 Weeks Personal Wellbeing Index 7-item Pre and Post Survey Women's Self -Esteem Group 6 Sessions- 1 hour per session- 6 weeks Personal Wellbeing Index 7-item Pre and Post Survey Anger Management- Cognitive- Behavioral Therapy 12 Sessions- 1.5 hours per session-12 Weeks Personal Wellbeing Index 7-item Pre and Post Survey Holistic Nutrition and Stress Management Group 6 Sessions-1.5 hours per session- 6 weeks Personal Wellbeing Index 7-item Pre and Post Survey DocuSign Envelope ID: EC84BE7D-BFD7-4F79-87CB-E23B7BCF9E48 ■udget and Justification, year 2 FH33:FiIDIIU Position Name Annual Salary Percent of Effort Cost Behavioral Health Manager IHCP Director Meagan Miller $ 70,000.00 35% 5 24,500.00 Community Health Worker Su ervisnr LaShonda Black $ 56 000.00 2S% $ 14,000.00 Community Health Worker Lead Vacant $ 52,416.00 100% $ 52,416.00 Community Health Worker Vacant $ 32,000.00 100% $ 32,D00.00 Community Health Worker Vacant $ 32,000.00 100% $ 32,000.00 $ 0% $ TOTAL $ 154 916.00 JUSTIFICATION: The Behavioral Health Manager will provide program oversight and administration. The Community Health Workers will provide interventions, case management and utilise a community health worker model to provide services. The admin assistant will assist with managing appointments and clerical duties. B: FRINGE BENEFITS Position Name Fringe Rate Total Salary Charged to Award Total Fringe Charged to Award Behavioral Health Manager IIHCP Director Meagan Miller 40% $ 24,SD0.00 $ 9,800.00 Communiy Health Worker Supervisor LaShonda Black 40% $ 14 000.00 $ 5,600.00 Community Health Worker Lead Vacant 40% $ 52,416.00 $ 20,966.40 Community Health Worker Vacant 40% $ 32 000.00 $ 12 800.00 Community Health Worker Vacant 40% $ 32,000.00 $ 12,80000 0% $ $ TOTAL $ 61966.40 JUSTIFICATION: Personnel listed are full-time benefits eligible employees with a fringe rate of 40%., which Includes retirement and health care benefits. Po of Trace location m hifileage/Flight Hotel Meals Other Cost Travel to Austin from Lubbw It. Tir for Annual Prevention Conference (S $4.500 $ 4.DD000 $ 1,83000 $ $ 1033000 staff, S nights/6 days( Costs for travel Include $900 rouncitrip airfare per person, $61 meal per diem per person for 6 days and $160 lodging per person per night for S nights The trip costs $2 066 per person. Travel is budgeted In accordance with GSA rates Travel m Reglan 1 and Transportation of Progrem Participants (6,SS0 $ 4,290.25 $ - $ $ $ 4,290.25 miles at 655 er mile to tran cart clients over 12 moths $ $ $ $ $ TOTAL $ 14620-25 JUSTIFICATION: Travel to annual meetings In Austin, to transport program participants to services and to service providers In the Region. O- SUPPLIES (Materials costing less than $5 000 per unit and often having one-time use I JUSTIFICATION: Class supplies, sessions, trainings, electronics and staff supplies. E: CONSULTANTS JUSTIFICATION: A flexible holishk nutrition, wellness and stress ma ingement class for program participants. F: OTHER EXPENSES JUSTIFICATION: Meeting rooms for the strengthening families program and dinner for Strengthening night of class. Access to the LBR Community Platform to streamline the referral process, Total Direct Costs $ 304,oD2.65 Indirect Cost Rate 0% Total Indirect Costs $ Total Project Costs $ 304,002.65