To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
SUBJECT:
title
Professional Services Agreement with Humboldt State University for ACEs Aware trainings for the term of July 1, 2020 through June 30, 2021
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the Professional Service Agreement with Humboldt State University (HSU) in the amount of $110,000 for the term of July 1, 2020 through June 30, 2021;
2. Authorize the Director of Public Health or a designee to sign two copies of the agreement;
3. Authorize the Director of Public Health or designee to approve all future amendments and documents directly related to this agreement upon approval by County Counsel and Risk Management; and
4. Direct the Clerk of the Board to return one copy of the certified board report to the DHHS- Contract Unit.
Body
SOURCE OF FUNDING:
Public Health Fund - Fund 1175
DISCUSSION:
On Aug. 18, 2020 (Item C-21), your Board ratified the executed services agreement with Aurrera Health Group for development and promotion of provider training programs to qualify to earn supplemental payments for conducting screenings for Adverse Childhood Experiences (ACEs). This grant was awarded through the Department of Health Care Services (DHCS) with the intent to better equip practicing physicians to work with patients that have been exposed to significant trauma or have health effects related to trauma exposure.
The Ka'm-t'em supplemental training focuses on increasing the awareness of ACEs of Indigenous children, families, and communities while building community capacity for resilience of young children and their families. Curriculum for this training will be developed by Dr. Kishan Lara-Cooper, professor and chair of the Child Development Department at Humboldt State University and Indigenous community professionals (and Ka’m-tem authors). This supplemental training for medical providers and their staff will target approximately 200 participants and is a three-part supplemental training that infuses the history of genocide, trauma, on-going oppression, and tools to healing with its impacts on child development. Trainings will utilize concepts from a California Indigenous publication, “Ka’m-t’em: A Journey Toward Healing” to highlight historical, social, and cultural considerations to creating safe spaces for Indigenous clients. Trainings will be held virtually due to the COVID-19 pandemic and will highlight self-reflection including implicit and explicit biases; shifting the paradigm of institutional frameworks to nurture safe spaces; and strategies to implementation in the field. Trainers will be mindful to create a supportive environment that models a culturally sensitive pedagogy.
The 0-5 supplemental training focuses on increasing the awareness of Adverse Childhood Experiences (ACEs) among medical professionals and building community capacity for resilience of young children and their families. Developed by two faculty members: Hyun-Kyung You and Carol West in the Child Development Department at Humboldt State University. A total of six hours of online training will be offered for up to 30 medical professionals (per cohort) who provide screenings to children and work directly with young children and their families. The training will be approached from multiple angles and focus on the interactive nature of human development. Trainees will have opportunities to view ACEs from an individual level through young children’s neural development and stress-response systems. As young children (ages 0-5) are the most vulnerable population affected by toxic stress from ACEs, early and prolonged exposure to abuse, neglect, and household dysfunction can be detrimental to their healthy development. Moving toward an interactive level, young children’s development will be discussed in terms of their relationship with others. Children’s resilience is largely dependent on their stable and dedicated relationships with others (e.g., parent, grandparent, foster care parent, childcare provider, etc.). Medical professionals can influence the development and well-being of young children from these multiple levels. This training will encourage participants to engage in reflective practices so that the knowledge can grow into building a system of supportive networks not only for young children and their families but also for themselves.
The agreement before your Board today will allow DHHS - Public Health, Healthy Communities Division to partner with HSU to bring these trainings to medical providers in our county and assist them in qualifying for supplemental payments for conducting ACEs screenings.
This contract is appearing before your Board after the contract start date due to delays in correcting the contractor’s schedule of rates.
FINANCIAL IMPACT:
The intent to work with HSU as a sub-awardee was approved in grant agreement with Aurrera Health Group agreement for the ACEs Aware project and incorporated into the scope of work. The agreement will be fully funded through the ACEs Aware grant, awarded by DHCS. The maximum amount of the agreement with HSU is $110,000 over the term July 1, 2020 through June 30, 2021. Funding for this agreement was supplemented in fiscal year 2020-2021 in Fund 1175, Budget Unit 488, Family Violence Prevention. There is no impact to the county General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations, creating opportunities for improved safety and health and providing community-appropriate levels of service.
OTHER AGENCY INVOLVEMENT:
HSU
Aurrera Health Group
DHCS
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve the recommendations; however, such an alternative would result in decreased services to the County.
ATTACHMENTS:
1. Professional Service Agreement with Humboldt State University
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-21
Meeting of: 08/18/20
File No.: 20-945; 20-1261