Loading...
HomeMy WebLinkAboutExhibit BCITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM TO: Arthur Noriega V City Manager 0 Signed by: FROM: Marie "Maggie" Gouin Director 5F6E831796C5495... Office of Management & Budget BACKGROUND DATE: July 14, 2023 SUBJECT ARPA — Mayor -Allocation of $750,000 to Advocate Program, Inc. - - Homeless Functional Zero The City of Miami ("City") received American Rescue Plan Act funding to address COVID-19 and its impact on public health as well as address economic harms to households, small businesses, nonprofits, impacted industries, and the public sector. Advocate Program, Inc, a Florida Not for Profit Corporation, is a multi -faceted, community -based agency that has provided offender supervision services to the clients of the Miami -Dade Eleventh Judicial Circuit since 1971, facilitating social change and enhancing public safety through leadership, research, education, supervision, and services, utilizing best and evidence -based practices. On January 13, 2022, the City Commission adopted Resolution No. R-22-0019 allocating and appropriating Seven Hundred Fifty Thousand and 00/100 Dollars ($750,000.00) to the Miami Foundation of Mental Health, Inc. ("Foundation") to establish the operational infrastructure of the Miami Center For Mental Health and Recovery ("Center") located at 2200 NW 7 Avenue, a facility which will provide a comprehensive array of interdisciplinary and cross -organizational treatment services for individuals with serious mental illnesses ("Project"). (See Exhibit A) Advocate Program, Inc. in agreement with the Foundation will now serve as managing entity for the Center and fiscal agent to the Foundation in order to implement the Project. (See the attached the proposal, Exhibit "B"). Based on the information and documentation provided by the Mayor's Office, Advocate Program, Inc., and the Miami Foundation of Mental Health, Inc., the Project is eligible for the use of ARPA (SLFRF) funds under the Department of Treasury Final Rule, Expenditure Categories 1.12 — Public Health: — Behavioral Health — Mental Health Services and 1.13 Public Health — Behavioral Health — Substance Use, contingent upon additional considerations and requirements being met. Under the SLFRF program, funds must be used for costs incurred on or after March 3, 2021. Further, funds must be obligated by December 31, 2024, and expended by December 31, 2026. This time period, during which recipients can expend SLFRF funds, is the "period of performance. For considerations and requirements details see the Project Analysis attached (Exhibit "C"). The ARPA (SLFRF) funds, in the amount of $750,000, will be allocated to the Advocate Program, Inc as the subreceipient. The Foundation will continue to provide advocacy, fundraising, and programming support for the Center. The ARPA funds will be used for the same purposes described above. RECOMMENDATION In light of the above stated, approval of a waiver of the formal requirements of competatitve sealed bidding methods as not being practicable or advantageous to the City as set forth in the City Code of Ordinances, as amended, specifically Section 18-85 (A), and the affirmation of these written findings and the forwarding of the same to the City Commission for ratification by a fourth -fifths vote is respectfully requested. APPROVED/ DISAPPROVED DocuSigned by: a&W Nolnt,�& R59r.F,&c Arthur Noriega V City Manager DIVISION OF CORPORATIONS �f W) officinal State of PoriAt websife Department of State / Division of Corporations / Search Records / Search by Entily. Name / MIAMI, FL 33126 Title SECT TURNER, ROBERTA H 1150 NW 72ND AVENUE SUITE 200 MIAMI, FL 33126 Title TREA Augustin, Miguel 1150 NW 72ND AVENUE SUITE 200 MIAMI, FL 33126 Title CEO Perez-Morina, Isabel, Ph.D. 1150 NW 72ND AVENUE SUITE 200 MIAMI, FL 33126 Report Year Filed Date 2021 01 /07/2021 2022 01 /04/2022 2023 01 /27/2023 Document Images 01/27/2023 --ANNUAL REPORT View image in PDF format 01/04/2022 --ANNUAL REPORT View image in PDF format 01/07/2021 --ANNUAL REPORT View image in PDF format 01/13/2020 --ANNUAL REPORT View image in PDF format 01/23/2019 --ANNUAL REPORT View image in PDF format 08/22/2018 --AMENDED ANNUAL REPORT View image in PDF format 01/22/2018 --ANNUAL REPORT View image in PDF format 01/06/2017 --ANNUAL REPORT View image in PDF format 01/12/2016 --ANNUAL REPORT View image in PDF format 02/19/2015 --ANNUAL REPORT View image in PDF format 09/04/2014 --AMENDED ANNUAL REPORT View image in PDF format 01/27/2014 --ANNUAL REPORT View image in PDF format 01/08/2013 --ANNUAL REPORT View image in PDF format 02/10/2012 --ANNUAL REPORT View image in PDF format 01/03/2011 --ANNUAL REPORT View image in PDF format 02/16/2010 --ANNUAL REPORT View image in PDF format 01/14/2009 --ANNUAL REPORT View image in PDF format 01/11/2008 --ANNUAL REPORT View image in PDF format 01/08/2007 --ANNUAL REPORT View image in PDF format 04/25/2006 --ANNUAL REPORT View image in PDF format 01/10/2005 --ANNUAL REPORT View image in PDF format 04/28/2004 --ANNUAL REPORT View image in PDF format 01/17/2003 --ANNUAL REPORT View image in PDF format 01/23/2002 --ANNUAL REPORT View image in PDF format 04/19/2001 --ANNUAL REPORT View image in PDF format 07/06/2000 --ANNUAL REPORT View image in PDF format 03/30/1999 --ANNUAL REPORT View image in PDF format 05/06/1998 --ANNUAL REPORT View image in PDF format 04/24/1997 --ANNUAL REPORT View image in PDF format 05/01/1996 --ANNUAL REPORT View image in PDF format 04/06/1995 --ANNUAL REPORT View image in PDF format Florida Department of State, Division of Corporations MIAMI CENTER FOR MENTAL HEALTH AND RECO' AN INNOVATION PROJECT TO IMPROVE COMMUNITY HEALTH AND WELLBEING }- A Mrhe Miami Center for Mental Health and Recovery will create a comprehensive and coordinated system of care for individuals with serious mental illnesses who are frequent and costly recidivists to the criminal justice system, acute care medical and mental health treatment systems, and chronic homelessness. Problem f•. MIAMI CENTER FOR MENTAL HEALTH & RECOVERY Access to effective, community -based mental health and substance abuse treatment is extremely limited for many Florida residents. The state ranks 43rd nationally in access to mental health care, has the 4t" highest rate of adults with mental illnesses who are uninsured, and at $39.55 per capita, ranks 49t" among all states and the District of Columbia in spending for community -based treatment. As a result, police and jails are increasingly the first and only responders to people in crisis due to untreated mental illnesses. In fact, the Miami -Dade County Jail now serves as the largest psychiatric institution in Florida, containing as many beds for people with mental illnesses as all state civil and forensic mental health treatment facilities combined. The county spends $636,000 per day — or $232 million per year — to house an average daily population of 2,400 individuals with mental illnesses. By contrast, the state spends just $47.3 million annually to provide community -based mental health services to about 34,000 people in Miami -Dade and Monroe Counties, while another 70,000 people in need receive no treatment at all. Put another way, $100,000 annually in taxpayer dollars are spent for each person with a mental illness in jail, but only $1,400 for each person who manages to access care in the community. Two-thirds of those in need receive no treatment at all. This problem is caused because there is no capacity anywhere in the United States to adequately serve individuals who experience the most severe and persistent forms of mental illnesses. In addition, there remains significant fragmentation and lack of communication across the healthcare system, as well as poor integration of behavioral health and primary care services. MIAMI FOUNDATION FOR MENTAL HEALTH MI�D=ADE I Solution Miami -Dade County has been working with the Eleventh Judicial Circuit Criminal Mental Health Project and stakeholders from across the community to plan and develop a first -of -its -kind mental health diversion and treatment facility for individuals with serious mental illnesses involved in or at risk of becoming involved in the criminal justice system. The Miami Center for Mental Health and Recovery will operate from a fully renovated facility designed to house services that are difficult to access or unavailable elsewhere in the community. The building will include a central receiving center, an integrated crisis stabilization unit and addiction receiving facility, various levels of residential treatment, day treatment and day activity programs, outpatient behavioral health and primary care, dental and optometry services, vocational rehabilitation and employment services, classrooms and educational spaces, transitional housing and housing assistance, a courtroom, and space for legal and social service agencies. By housing a comprehensive array of services and supports in one location, and providing re-entry assistance upon discharge, many of the barriers to navigating community mental health and social services will be eliminated. The services planned for the facility will address critical treatment needs that have gone unmet in the past and reduce the likelihood of recidivism to the justice system, crisis settings, and homelessness in the future. 0 THIS PROJECT IS SUPPORTED BY THE BUILDING BETTER COMMUNITIES BOND PROGRAM AND THE MAYOR AND BOARD OF COUNTY COMMISSIONERS OF MIAMI-DADE COUNTY, AS WELL AS THE PUBLIC HEALTH TRUST OF MIAMI-DADE, FLORIDA The Miami Center for Mental Health and Recovery The vision of the Miami Center for Mental Health and Recovery (Center) is to create a future of hope and recovery for people with mental health and substance use disorders who are frequent and costly recidivists to the criminal justice system, acute care medical and mental health treatment systems, and chronic homelessness. The Center's mission is to be the first of its kind center of excellence, offering the highest quality of integrated care for vulnerable individuals with acute mental health and substance abuse disorders. The Center's goals are to target comprehensive recovery, promote self-sufficiency, and provide an avenue towards academic research and behavioral health workforce development through the creation of innovative and effective best practices. The Center has been planned to include a central receiving center, an integrated crisis stabilization unit and addiction receiving facility, various levels of residential treatment, transitional housing, day treatment and day activity programs, outpatient behavioral health and primary care, dental and optometry services, vocational rehabilitation and employment services, classrooms and educational spaces, post -treatment housing assistance, a courtroom, and space for legal and social service agencies. The Center will provide a comprehensive array of interdisciplinary and cross -organizational treatment services for individuals with serious mental illnesses. The Center's services will be innovative, comprehensive, and delivered through a coordinated patient -driven approach that will create a holistic model of integration of care. The target population for the Center will include those with repeated involvement with the criminal justice system and other acute care settings, multiple treatment failures, and non-compliance with treatment program requirements. These individuals suffer from medical or other social determinants that exacerbate their mental health and/or substance abuse issues making treatment difficult without a comprehensive approach. Funding for the Center will allow for the implementation of innovative treatment strategies often not paid for in traditional community -based settings. Treatment services will be based on current available best practices. Notably, the Center will be the first of its kind. Research and continuous quality improvement will allow for services to be data driven and innovative. This will also allow for the development and refinement of known best practices that will ultimately fill treatment voids and improve patient and community outcomes. The program intends to use adaptation of an established best practice, the Collaborative Care Model (Co-CM)l and integrate principles, essential elements, and best practices for behavioral health crisis response 2. The Co -CM model will allow the Center to ensure 1 Collaborative Care. AIMS Center Advancing Integrated Mental Health Solutions. https://aims.uw.edu/collaborative-care. Z Roadmaa to the Ideal Crisis Svstem: Essential Elements. Measurable Standards and Best Practices for Behavioral 1 that services are integrated. A fully integrated care model allows care to be driven by the patient's needs and goals, avoids duplication, and ensures that all service professionals follow one treatment plan. The Center will also ensure all services are delivered through a recovery - oriented system of are and are trauma-informed.3 n The Center's unique approach will address the key limitations of the current system by providing effective integrated, and holistic treatment. The continuum of care will include screening and evaluation, housing, health, and judicial services. These services will be offered under one roof and include primary care, an array of mental health and substance abuse services, and support services that promote engagement and responsivity to individual needs. A patient's length of stay can be up to one year and pre -aligned treatment and coordinated scheduling will eliminate waitlists and unnecessary barriers to accessible care. The Center's capacity includes 16 acute care beds (crisis stabilization), 48 beds for short term residential, and another 144 beds for longer term residential treatment. Key services that will be available throughout a patient's stay will include psychiatry, ambulatory services, ophthalmology, substance abuse treatment, dentistry, primary care, vocational rehabilitation, and recreational services. Service providers will be contracted to provide these services through a team of doctors, nurses, therapists, social workers, and peers. The model established will go beyond co -location and coordination of services, but create a holistic, integrated approach to care. Operating Model Advocate Program, Inc, (AP) a community nonprofit organization, will serve as managing entity for the Center and fiscal agent to the Miami Foundation for Mental Health and Recovery (Foundation). The Foundation was established to provide advocacy, fundraising, and programming support for the Center. Role of the Advocate Program AP will be responsible for the overall management of the Center, this includes coordinating its day-to-day operations and providing accountability and oversight to the Center service providers/subcontractors. Advocate Program's management of the Center will be consistent with the requirements of any funding source. AP will ensure subcontractors meet required deliverables to funders and requirements of local government for use of the building are met in the delivery of services to clients. AP will subcontract with all Center service providers and ensure that services are delivered in a coordinated manner. AP will coordinate research activities and Health Crisis Response. Group for the Advancement of Psychiatry. March, 2021. 3 Guiding Principles and Elements of Recovery -Oriented Systems of Care: What do we know from the research?. US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. Guiding Principles and Elements of Recovery -Oriented Systems of Care: What do we know from the research? - August 2009 (naadac.org) a Practical Guide for Implementing a Trauma -Informed Approach. Substance Abuse and Mental Health Services Administration. Practical Guide for Implementing a Trauma -Informed Approach I SAMHSA. 2 will be the central repository for all data involving the Center. Additionally, AP will provide quality assurance and quality improvement to ensure successful treatment outcomes, create Center reports, and disseminate data to all stakeholders and funders. AP will be responsible to multiple funders for all deliverables on all awards whether they are performed directly by AP, by a subcontractor or by one of their subcontractors. This will include ensuring that all contractual requirements are met and there is proper documentation for all deliverables and services provided as well as all disbursements of funds in accordance with agency policy and procedures and individual funding agency requirements in the awarding documents. AP will ensure that the operation of the Center is consistent with the requirements of any funding source and all applicable laws, ordinances, statutes, regulations, accreditation requirements, rules, permits, certificates, licenses, authorizations and the like and any other requirements of the Federal government or any State or local government or any commission, board, court, agency, instrumentality, or political subdivision thereof. AP will comply with the requirements of each funding source with respect to QA/QI and data collection, storing and reporting based on the required scope, fidelity principles, and funding availability. Role of the Miami Foundation for Mental Health and Recovery The Foundation will be principally responsible for advocacy and fundraising for the Center, including identifying potential grant opportunities and collaborating on grant applications where appropriate. The Foundation will be responsible for acting as a liaison with the Eleventh Judicial Circuit, who will facilitate court proceedings at the Center. The Foundation will participate in the identification and recruitment of Subcontractors and Center Staff. Through its affiliation with the judicial and law enforcement community and other community partners, the Foundation will assist in the recruitment of potential clients who meet the criteria for the Target Population. The Foundation will be part of a Center management team, along with AP, in order to ensure fidelity to the vision and a collaborative and transparent process for Center operations, funding, and decision making. Primary Service Provider Role AP will contract with a primary service provider who will be responsible for the overall care of Center patients. Primary Center Service Provider will provide, at a minimum, the central receiving and integrated crisis stabilization services. This includes assessment, intake, placement services, and crisis stabilization. The primary provider will staff the Center's receiving facility and admit patients to the Center based on bed availability and Center eligibility requirements. The primary service will be responsible for intake, medical triage, crisis stabilization, and all related behavioral health care delivered through the Center. The primary provider may subcontract medical and other supportive services to other approved and qualified service providers. The primary provider will be expected to work with Center researchers, coordinate care, and organize patient staffing. Performed intakes and assessments are expected to include psychometric testing, health screenings, neurological screenings, evaluation of criminogenic risks and needs, and adverse 3 experiences/trauma assessments. The primary provider will be responsible for following admissions procedures and ensuring individuals who do not meet admission criteria are referred or transferred to another facility. The primary provider will prepare treatment plans that will be the basis for the entire course of care in the facility including all modalities of treatment. Treatment plans may be modified based on multi -disciplinary staff including all levels of care in the facility on a regularly scheduled basis, changing care and modalities of care as required, even moving clients back to more intensive care when required. The primary provider will be responsible for data collection across all subcontracted service providers. Partners/Consultants The Center will work with partners/consultants to provide and/or develop funding streams, such as research grants, to: • Develop a research plan and data collection methodology. • Integrate existing electronic record systems to promote information gathering, coordination of care, and quality assurance/improvement. Coordinate and integration of data to eliminate duplication of data entry. • Ensure funds are leveraged and billing to third parties, such as Medicaid are fully utilized and not duplicated. • Identify best practices for providing services to clients and develop tools to evaluate their effectiveness. • Make improvements to practices when needed based on research and center data. • Test and develop innovative best practices based on research and center data. Center Management Structure and Staff Center Management Staff will be employed by AP and subject to the organization's policies and procedures. AP will have a MCMHR Division with the following structure: • Operations and Care Coordination • Research, Compliance, and Quality Improvement • Fiscal Management Operational and Care Coordination activities include: • Managing day-to-day Center operations. • Collaborating closely with all Center service providers. • Ensuring coordination of care across Center activities and service providers. • Collect and enter Center data for purposes of treatment planning. • Provide general contract management, oversight, and technical assistance to Center service providers. • Implement and oversee corrective action plans that may be developed. • Participate in Center case staffing. • Ensure center critical incidents are reported. • Work closely with building management and security to ensure Center safety. 4 Research, compliance, and quality improvement tasks included but are not limited to: • Serving as a liaison with the Center Research Team/Consultants. • Tracking and reporting on Center data. • Conducting annual risk assessments and developing risk prevention and management strategies. • Ensuring contractual and legal compliance. • Subcontractor monitoring, correction planning, and oversight. • Developing, tracking, and reporting on quality assurance standards. • Developing a continuous quality improvement plan and reporting on center and client outcomes. • Maintaining data security and client confidentiality. • Develop and oversee information sharing guidelines. • Develop emergency response protocols. • Oversee critical incident reporting. The fiscal management functions include but are not limited to: • Receipt and disbursement of Center funds. • Financial analysis and reporting. • Coordinating and managing financial audits. • Following Generally Accepting Accounting Principles (GAAP). • Tracking third party payor payments. • Ensuring financial management and preventing misuse of funds. Organizational Capacity and Structure Advocate Program, Inc. is a multi -faceted, community -based agency whose mission is to facilitate social change and enhance public safety through leadership, research, education, supervision, and services, utilizing best and evidence -based practices. Our motto is it's not what we do, it's what we make happen. As a service driven organization, the Program has committed itself to being an agency that promotes innovative and transformative work, leading the community in providing essential information, guidance and skills through the services, supervision, education, and leadership. Organizational commitment to quality is a direct extension to the core values of integrity, compassion, excellence, dedication, empowerment, and collaboration. Advocate Program, Inc. is a private, not -for -profit, 501 c (3) organization that has provided offender supervision services to the clients of the Eleventh Judicial Circuit (Miami -Dade, Florida) since 1971. The Program began providing misdemeanor and traffic probation supervision in 1975 and since 1991, has been the sole provider of these services to the Judges of Miami-Dade's County Court. The Program has also offered diversion and community service Programs to the Courts of the Eleventh Judicial Circuit since the mid-70's. Additionally, the Program operates a Florida State -Licensed DUI Program, Traffic School, Domestic Violence Unit, an Adult & Family 5 Behavioral Health Unit, and a Veteran Support Services Unit. On average, Advocate Program serves approximately 15,000 clients across its programs. Service population needs include access to behavioral health services that includes addiction counseling and interventions that focus on criminal and violent behavior (criminogenic factors). Other needs include housing, accessing to primary health, and restoration of voting rights. The organization's strategic plan includes improving health indicators among its population served. There have been many gaps, barriers, and failures that have plagued communities, resulting in criminal justice systems becoming the default first responder to addiction, mental health crisis, and homelessness. Organizations and institutions that shift in criminal justice response paradigms from a traditional view of public safety to a focus on improving public health show higher degrees of success. Advocate Program serves justice -involved individuals that suffer from homelessness, addiction, and mental illness with the goal of improving health indicators that will ultimately result in reducing recidivism. The organization's Annual report could be accessed online by visiting https://advocateprogram.org/. Advocate Program is a licensed outpatient provider and has been accredited by the Council of Accreditation, or COA, since 2015. The Program has successfully met the criteria for accreditation on standards of Ethical Practices, Governance, Financial Management, Human Resources Management, Client Rights, Case Management, Administrative & Service Environments, Training & Supervision, Counseling, Support & Education, Performance & Quality Improvement, Child & Family Development, Mental Health & Substance Use Services, Domestic Violence Services, Supervised Visitation Services, Housing & Stabilization Services and Risk Prevention Management. Advocate Program receives federal, state, and local funding through several grants and contracts. The Program is routinely audited and monitored by funders and regulatory agencies. At present, the Program has no active corrective action plans and scores above the 901" percentile on most performance audits. The 2021 external audit is attached. Human Resources and Financial Management for the Center will be done through AP's existing administrative structure. AP's Chief Executive Officer will provide general oversight and be the point of contact for contracts negotiated on behalf of the Center. AP's Board of Directors approves and grants the CEO authority to negotiate contracts and administer contracted funds. The Corporate Resolution authorizing AP to receive funds from the City of Miami is attached. 0 Budget Narrative Based on the $750,000.00 allocation of non -recurring funds for the Miami Center for Mental Health and Recovery (Center), the following is proposed. • Allocation for Key Center Staff salaries and fringe benefits ($250,000). Salaries to recruit key personnel to establish the operational infrastructure of the center. This includes hiring an Operating Director who will be responsible for implementing Center policy and overseeing all programmatic functions and a Risk and Compliance director who will be responsible for developing Center contingency, emergency response, and safety planning. Key staff listed should be hired within 3-6 months of the award. A critical component of this funding is to ensure continued and sustainable funding through an approved operational contract and budget with Miami -Dade County. Once approval from the County is received, startup funds to immediately hire key staff will be utilized. The budget request is for approximately 6 months of salary and benefits for 3 key staff listed. • Technology and Supply budget ($230,000). Immediately upon being awarded, Advocate Program will purchase needed Center financial management software (Blackbaud) and engage in a software development contract for the Center network. This funding is critical to ensure that Center funds are managed according to GAAP and contractual standards. This will ensure that funds are tracked, segregated, and disbursed appropriately. The Center will need a global data management system that will assist in data collection, research, quality assurance, coordination of care, client scheduling, information sharing, and reporting. Finally, Center staff will need computers, printers, telephone service, and licensed accounts for document signature and video conferencing. Advocate Program will purchase a separate cloud for Center data storage and management and ensure security of the data. • Eye Lane Implementation ($75,000). The Center will offer Ophthalmology services and will use start up funds to create an eye lane. This includes an exam chair, stools, and special equipment to have a fully functional eye examination room at the Center. • Professional and Legal consultation costs for the development and execution of service subcontracts ($120,000). The Center will engage in a research contract to develop data collection requirements, research questions and research protocols. All contracts will be reviewed for legal compliance as well as compliance with licensing and accreditation standards. The program will engage with professional consultants to continue to develop implementation models for care and funding. • Indirect Costs ($75,000) 7 Project Timeline Purchase BlackBaud Finalize Research Develop Data Collection & Software Contract Research Protocols Set up Center Cloud Finalize Center Negotiate Research Purchase supplies and Subcontracts with Contract equipment. Hire Center Staff legal review Develop Center Finalize Center Engage in Consultant Purchase Eye Lane Emergency and QA/QI practices and system Contract Equipment Protocols. of care standards. Obtain Proposals for Submit final decision for Center Client Center Information Information System System Budget Salaries Salaries (Six Months) Operating Director $ 92,500.00 Dir. Risk and Compliance $ 87,500.00 Administrative Assistant $ 20,000.00 Total $ 200,000.00 Fringes Benefits Total $ 50,000.00 Total Personnel $ 250,000.00 Operating Technology & Supply Expenses (12 Months) $ 230,000.00 Eye Lane Implementation $ Research, Professional, and Legal Consultation $ 75,000.00 120,000.00 Operating Expenses Total $ 425,000.00 Indirect Costs (10%) Budget Total $ 75,000.00 $ 750,000.00 E-1 JOB DESCRIPTIONS FOR KEY CENTER STAFF 10 MCMHR Operating Director SUMMARY The (Managing?) Operating? Director reports to the Chief Executive Office of Advocate Program, Inc. The Managing Director shall be responsible for implementing Center policy, overseeing all programmatic functions, administering all contracts, ensuring all funding and regulatory requirements are implemented and maintained with strict compliance, managing effective relationships with stakeholders and the public at large, and participating in the strategic planning of the Center. PRINCIPAL DUTIES AND RESPONSIBILITIES 1. Be responsible for coordination of care at the Center, Center program activities and meeting programmatic goals and objectives and for the overall performance of the Center. 2. Ensure all Center staff operates in compliance with policy and procedures, regulations, laws, and funding agency requirements. 3. Keep the organization and all stakeholders informed of general Center operations; execute, or authorize execution, of all contractual agreements of the agency as authorized by the Board including purchase orders and consulting agreements. 4. Interpret and implement all fiscal, programmatic and other guidelines as imposed by funding agencies. 5. Develop and implement administrative procedures for internal operation of the Center in accordance with organization Policies and Procedures 6. Develop, maintain and supervise cooperative agreements and contracts, relationships and liaisons with key stakeholders and funders, with direction and approval from the CEO and Center Management Team. 7. Assist in the coordination and use of resources in the interest of Center patients. 8. In compliance with agency's Policies and Procedures, recruit, hire and supervise all Center operating staff. 9. Oversee staff development and staff orientation and in-service training in compliance with agency Policies and Procedures. 10. Oversee all Center subcontracts. 11. Delegate such functions as are necessary for the efficient operation of the Center. 12. Assist in public relations and marketing strategies for the Center. 13. Participate in quality improvement activities on an ongoing basis. 14. Perform such other functions as necessary for the efficient operation of the Center. QUALIFICATION REQUIREMENTS Candidate must be an innovative leader with exceptional communication skills and demonstrated ability to coordinate activities across complex systems and stakeholders. Experience in the fields of public health, behavioral health, and systems of care are strongly preferred. Minimum of four years' experience in administration of social service and public health agencies with not less than two years of said experience in a high administrative supervisory capacity. Essential qualifications include prior experience in the field of behavioral health and/or medical services and knowledge of community 11 resources and funding sources. Additionally, the successful candidate will demonstrate knowledge and proficiency in behavioral health treatment modalities, research, data systems, grants management, and fundraising. Experience in the development, implementation, administration, and evaluation of interventions designed around the needs of people with serious mental illnesses and co-occurring substance use disorders involved in the criminal justice system strongly preferred. EDUCATION AND/OR EXPERIENCE Master's Degree or its equivalent from an accredited institution. Minimum of four years' experience in administration of social service agencies and/or public health agencies with not less than two years of said experience in a high administrative supervisory capacity. Prior experience in the field of behavioral health with knowledge of community resources and funding sources. Additionally, knowledge of the criminal justice system is strongly desired. 12 MCMHR Director of Risk and Compliance SUMMARY The Director of Risk and Compliance reports directly to the Chief Executive Officer of the Advocate Program. The Director of Risk and Compliance shall be responsible for monitoring all Center operations and contracts. This position will ensure that all Center services and activities meet quality of care standards, regulations, laws, and contractual requirements. The Director of Risk and Compliance will be responsible for compliance monitoring, issues corrective action plans, establishing and tracking client outcomes, and creating avenues for continuous quality improvement. This position will ensure accountability and transparency throughout the Center system of care. PRINCIPAL DUTIES AND RESPONSIBILITIES 1. Develop, review and update compliance monitoring and risk assessment tools. 2. Prepare content and conduct staff trainings on use of these tools on a regular schedule and as additional trainings are warranted. 3. Schedule and perform all monitoring visits with Center staff and subcontractors. 4. Review and disseminate the results of monitoring through a comprehensive report as appropriate. 5. Create and track corrective action plans when required and ensure compliance and response to corrective action plans made. 6. Track, monitor, and analyze Center activities, services, and outcomes. 7. Ensure compliance with all contractual and legal requirements. 8. Develop continuous quality improvement protocols. 9. Develop all emergency response plans and procedures. 10. Develop and monitor critical incident reporting protocols. 11. Ensure staff training on CIA, CQI, contingency plans, emergency response, and critical incidents. 12. Lead annual risk assessments, develop annual risk plans, and oversee risk management strategy implementation. 13. Be the point of contact related to any data breaches or Protected Health Information breaches. 14. Ensure all forms used in the Center, such as releases of information, report findings format, etc to meet regulations, rules or laws or place the Center and agency at risk of breach. 15. Review and contribute to agency policies and protocols to determine if they have all steps necessary to mediate risk while accomplishing the purpose for which they were developed. QUALIFICATION REQUIREMENTS Must be aware of Federal, state and local requirements for receipt and use of public funds. Must have experience with general health and behavioral health funding and confidential requirements including Medicaid, Medicare, and HIPPA requirements. Be able to demonstrate investigatory skill and ability to get to the root cause of a problem. Be analytical and able to communicate findings and assist in identifying solutions. Be able to work with people under stress to enable problem resolution so compliance is ensured. Be able to use analytical and investigatory skill to identify and resolve all agency risk. Be certified in risk management. Possess excellent written and verbal communication skills. Be able to work at a fast pace, manage multiple projects under stress. 13 EDUCATION AND EXPERIENCE Bachelor's degree with certification in risk management. Four years of experience in grants and contracts management with public funds, preferably in the medical or behavioral health field. Masters degree preferred. 14 Administrative Assistant SUMMARY The Administrative Assistant reports to the Center executive team and provides administrative support to the Managing Director and Director of Risk and Compliance. RESPONSIBILITES • Assists with calendar coordination and scheduling meetings. • Providers administrative support to daily tasks and projects. • Schedules Center stakeholder meetings and assists in the creation and dissemination of meeting agendas. • Creates reports and documents. • Conducts general office duties such as data entry, filing, copying, etc. • Coordinates materials for meetings, training sessions and other activities. • Handles confidential information according to strict ethical standards. • Organizes and maintains all files. • Attends stakeholder meetings and takes, prepares, distributes and maintains meeting minutes. • Miscellaneous duties as assigned. QUALIFICATION REQUIREMENTS High school diploma, associate degree preferred with two years of experience as an administrative assistant. Must have excellent computer and customer service skills and be well organized. Must have good writing skills and be able to prepare reports and documents with minimal input. 15 Atkins North America, Inc. 800 Waterford way, Suite 100 Miami, Florlda 33126 Q�,+1 305.592,7215 June 30, 2023 Mrs. Marie "Maggie" Gouin Director Office of Management and Budget Miami Riverside Center 444 SW 2nd Avenue, 5th Floor Miami, FL 33130 Reference: Project Analysis — City of Miami — ARPA (SLFRF) Recommendation for application of ARPA (SLFRF) funds Project Name: Homeless Functional Zero — Advocate Program (R-22-0019) Mayors Office Proposed ARPA Funds Amount: $750,000 Proposed Activity for use of Funds: Program/Service — Subrecipient Mrs. Gouin, We are sending the recommendation for the use of ARPA (SLFRF) funds for the referenced project. Advocate Program, Inc. is a private, not -for -profit, 501 c (3) organization which offers a range of public health services in behavioral health and substance use. These services are aimed at individuals with serious mental illnesses and substance use disorders who often find themselves in the criminal justice system and other acute care treatment systems. As the managing and fiscal agent for the Miami Foundation for Mental Health and Recovery (Center), the Advocate Program takes on the responsibility of overseeing the comprehensive system of care provided at the Center. This includes coordinating and managing the various services offered and combining research and education to ensure that individuals receive the support they need to address their mental health and substance use issues. The services provided are based on best and evidence -based practices. This means that the agency utilizes approaches and interventions that have been proven effective through research and experience. By following these practices, the Advocate Program aims to make a positive impact on the lives of individuals with mental health and substance use disorders, as well as contribute to broader social change and public safety. Based on the information and documentation provided by the City's Office of Management and Budget and the Mayor's Office, the project Homeless Functional Zero — Advocate Program is eligible for the use of ARPA (SLFRF) funds under the Department of Treasury Final Rule, Expenditure Categories 1.12 — Public Health: — Behavioral Health Page 1 of 2 ATKIN5 �MGLamlln�ioup — Mental Health Services and 1.13 Public Health — Behavioral Health — Substance Use Services, contingent upon additional considerations and requirements being met. Under the SLFRF program, funds must be used for costs incurred on or after March 3, 2021. Further, funds must be obligated by December 31, 2024, and expended by December 31, 2026. This time period, during which recipients can expend SLFRF funds, is the "period of performance. For considerations and requirements details go to the Project Analysis, here attached. The ARPA (SLFRF) funds, in the amount of $750,000, can be allocated to the not -for -profit organization, Advocate Program, as a subrecipient, as part of the City of Miami's Homeless Functional Zero Project. ARPA funding will go towards the Advocate Program's Key Staff Salaries, Technology expenses, Center Supplies, Professional and Legal consultation costs, subcontractor startup costs (licensing and accreditation), training and travel expenses, and indirect costs. Please review and contact us with any questions you may have. Jamelyn Austin Trucks, CFM, PMP, CGM ARPA Consultant, Subject Matter Expert Senior Project Manager, Land Planning Lead Enclosures as noted. Page 2 of 2 Project Analysis — City of Miami — ARPA (SLFRF) Office of the Mayor Project Title Homeless Functional Zero - Advocate Program, Inc. Project No. (e-Builder) N/A Total Project Cost $750,000 Proposed ARPA Funding $750,000 Project Type • Program/Service Project Status • Not Started Project Estimated Completion TBD Agreement Type Subrecipient/Subaward Eligible Use Support the COVID-19 public health and economic response by addressing COVID-19 and its impact on public health as well as addressing economic harms to households, small businesses, nonprofits, impacted industries, and the public sector. Project Expenditure Category 1.12 — Public Health: — Behavioral Health — Mental Health Services 1.13 Public Health — Behavioral Health — Substance Use Services Project Justification (short- Advocate Program, Inc. is a private, not -for -profit, 501 c (3) SOW) organization which offers a range of public health services in behavioral health and substance use. These services are aimed at individuals with serious mental illnesses and substance use disorders who often find themselves in the criminal justice system and other acute care treatment systems. As the managing and fiscal agent for the Miami Foundation for Mental Health and Recovery (Center), the Advocate Program takes on the responsibility of overseeing the comprehensive system of care provided at the Center. This includes coordinating and managing the various services offered and combining research and education to ensure that individuals receive the support they need to address their mental health and substance use issues. The services provided are based on best and evidence -based practices. This means that the agency utilizes approaches and interventions that have been proven effective through research and experience. By following these practices, the Advocate Program aims to make a positive impact on the lives of individuals with mental health and substance use disorders, as well as contribute to broader social change and public safety. As part of the City of Miami's Homeless Functional Zero Project, ARPA funding will go towards the Advocate Program's Key Staff Salaries, Technology expenses, Center Supplies, Professional and Legal consultation costs, subcontractor startup costs (licensing and accreditation), training and travel expenses, and indirect costs. Eligible (Y/N) Yes, Project is considered eligible under Department of Treasury Final Rule, contingent upon the below additional considerations and requirements being met. Additional Information • Details on program duration needed • See Additional Considerations/Program Requirements and Required Performance Indicators and Programmatic Data Next Steps • Atkins to monitor activities/costs to be funded under the ARPA (SLFRF) funding. • Travel expenses to require review at time of reimbursement QC Completed (Name/Date) Jamelyn Austin Trucks 6/30/2023 Additional Considerations/Program Requirements: • Under the SLFRF program, funds must be used for costs incurred on or after March 3, 2021. Further, funds must be obligated by December 31, 2024, and expended by December 31, 2026. This time period, during which recipients can expend SLFRF funds, is the "period of performance." • ARPA funds can be used to provide additional funding for projects in progress prior to 3/3/2021, however only activities initiated AFTER 3/3/2021 are eligible for ARPA funds. • Ensure that the City of Miami Procurement Process or the Sub -Recipient Procurement Process meets Office of Management and Budget procurement standards set forth in 2 CFR 200.316- 320. • Public Health and Negative Economic Impact (EC 1.1-3.5) - Collection to begin in April 2022 o Brief description of structure and objectives of assistance program(s), including public health or negative economic impact experienced o Brief description of how a recipient's response is related and reasonably and proportional to a public health or negative economic impact of COVID-19. • Use of Evidence: (for all ECs indicated) - Collection to begin in April 2022 o The dollar amount of the total project spending that is allocated towards evidence - based interventions o Indicate if a program evaluation of the project is being conducted • Project Demographic Distribution (Applicable to Public Health and Negative Economic Impact ECs: EC 1.1-2.37) — Collection to begin April 2022 o Recognizing the disproportionate public health and negative economic impacts of the pandemic on many households, communities, and other entities, recipients must report whether certain types of projects are targeted to impacted and disproportionately impacted communities. Recipients will be asked to respond to the following: ■ What Impacted and/or Disproportionally Impacted population does this project primarily serve? Please select the population primarily served. ■ If this project primarily serves more than one Impacted and/or Disproportionately Impacted population, please select up to two additional populations served. Responding to Public Health and Economic Impacts of COVID-19 To assess eligible uses of funds in this category, recipients should (1) identify a COVID-19 public health or economic impact on an individual or class (i.e., a group) and (2) design a program that responds to that impact. Responses should be related and reasonably proportional to the harm identified and reasonably designed to benefit those impacted. The final rule recognizes that the pandemic caused broad -based impacts that affected many communities, households, and small businesses across the country; for example, many workers faced unemployment and many small businesses saw declines in revenue. The final rule describes these as "impacted" households, communities, small businesses, and nonprofits. At the same time, the pandemic caused disproportionate impacts, or more severe impacts, in certain communities. For example, low-income and underserved communities have faced more severe health and economic outcomes like higher rates of COVID-19 mortality and unemployment, often because pre- existing disparities exacerbated the impact of the pandemic. The final rule describes these as "disproportionately impacted" households, communities, small businesses, and nonprofits Eligible Public Health Uses. The Fiscal Recovery Funds provide resources to meet and address these emergent public health needs, including through measures to counter the spread of COVID-19, through the provision of care for those impacted by the virus, and through programs or services that address disparities in public health that have been exacerbated by the pandemic. To facilitate implementation and use of payments from the Fiscal Recovery Funds, the interim final rule identifies a non-exclusive list of eligible uses of funding to respond to the COVID-19 public health emergency. Eligible uses listed under this section build and expand upon permissible expenditures under the CRF, while recognizing the differences between the ARPA and CARES Act and recognizing that the response to the COVID-19 public health emergency has changed and will continue to change over time. To assess whether additional uses would be eligible under this category, recipients should identify an effect of COVID-19 on public health, including either or both of immediate effects or effects that may manifest over months or years, and assess how the use would respond to or address the identified need. Behavioral Health Care. In addition, new or enhanced State, local, and Tribal government services may be needed to meet behavioral health needs exacerbated by the pandemic and respond to other public health impacts. These services include mental health treatment, substance misuse treatment, other behavioral health services, hotlines or warmlines, crisis intervention, overdose prevention, infectious disease prevention, and services or outreach to promote access to physical or behavioral health primary care and preventative medicine.