Item Coversheet

Committee Assignments - C4  G




COMMISSION MEMORANDUM

TO:Honorable Mayor and Members of the City Commission 
FROM:Alina T. Hudak, City Manager 
DATE:April  28, 2023
 



SUBJECT:REFERRAL TO THE FINANCE AND ECONOMIC RESILIENCY COMMITTEE TO DISCUSS THE REALLOCATION OF FY 2023 FUNDS IN THE AMOUNT OF $100,000 FROM CAMILLUS HOUSE, INC. LAZARUS PROJECT TO CAMILLUS HEALTH CONCERN, INC. FOR THE PROVISION OF SPECIALIZED MEDICAL OUTREACH SERVICES TO HOMELESS PERSONS. 

RECOMMENDATION

The Administration recommends that the Mayor and City Commission refer a discussion to the Finance and Economic Resiliency Committee on the repurposing of FY 2023 funds in the amount of $100,000 previously allocated to Camillus House, Inc. Lazarus Project to Camillus Health Concern, Inc. 

BACKGROUND/HISTORY

Emergency Shelter Services

Camillus House, Inc. (“Camillus House”) is a local not-for-profit organization that has served the homeless population for over sixty (60) years. Providing a wide array of services, Camillus House not only helps the poor and vulnerable with basic needs such as showers, clean clothing, hot meals, and shelter, but extends its services into transitional/permanent housing and specialized outreach.  

On October 16, 2013, the Mayor and City Commission approved the issuance of Request for Proposals (RFP) No. 228-2013, for emergency shelter beds to serve the homeless population. On February 12, 2014, the Mayor and Commission adopted Resolution No. 2014-28482, authorizing the City Manager to execute a service agreement with Camillus House for the provision of a minimum of twelve (12) emergency shelter beds, in conjunction with Care Plan Management services, for the collective amount of $335,946 over a three-year term. 

On March 1, 2017, the Mayor and City Commission approved the issuance of Request for Proposals (RFP) No. 2017- 075 -KB for Emergency Shelter Beds to Serve the homeless population. On September 25, 2017, the Mayor and Commission adopted Resolution No. 2017-30000, authorizing the City Manager to award a service agreement for a minimum of twelve (12) emergency shelter beds to Camillus House in the collective amount of $1,051,875.99 over a five (5)-year term. The Administration agreed that Camillus House has proven to be a vital shelter bed resource in providing services to the homeless population of Miami Beach; therefore, the current shelter bed agreement is in the process of renewal for another year. 

Specialized Mental Health Services- Lazarus Project

Through various meetings during 2018, the City’s Committee on the Homeless discussed the possibility of a collaborative partnership with Camillus House Lazarus Project (“Lazarus Project”), resulting in a motion to support the launch of a pilot program to target homeless persons who have a mental illness. The program’s primary goal would be to target ten (10) chronically homeless individuals identified by the City’s Homeless Outreach Services and Police, and engage, assess, treat, and secure supportive permanent housing placements. 

On July 2, 2018, the Mayor and City Commission adopted Resolution 2018-30371, accepting the recommendation of the Neighborhood/Community Affairs Committee to fund a one (1) year pilot program with Lazarus Project to conduct specialized outreach to mentally ill homeless persons in FY 2019 in the amount $91,572, and to refer to the Finance and Economic Resiliency Committee (FERC), with a favorable recommendation, the funding of the pilot program in the amount of $91,572, as an enhancement in the FY 2019 budget. The service agreement was executed on February 6, 2019, and the Lazarus Project provided services to ten (10) chronically homeless individuals per their service agreement. The Lazarus Project continued to provide services until August 2020, when the program went into a hiatus.

On September 30, 2021, the Mayor and City Commission approved Resolution 2021-31869, adopting the final budget for FY 2022, with the Lazarus Project as a recurring expenditure enhancement of $100,000. 

On May 4, 2022, the City executed the FY 2022 agreement for $100,000. However, the commencement of services was delayed due to the contractor’s reported difficulties securing staff. At the request of Lazarus Project staff, the FY 2022 agreement was amended to extend the term to September 30, 2023. Subsequently, Lazarus project staff notified the Administration that they would not utilize the FY 2023 allocation of $100,000 due to challenges with staffing. As a result, the Administration explored alternatives to expend the allocated funds on similar services. 

Camillus Health Concern, Inc.

On February 21, 2023, the Administration met with Camillus Health Concern, Inc. (“CHC”), a Federally qualified health center, to explore additional programs that would benefit chronically homeless individuals in Miami Beach. The Homeless Outreach Services team has referred several clients to CHC for medical treatment, mental health screenings, and medication management. In addition, CHC offers specialized services to address specific areas and issues related to homelessness and has been a Healthcare for the Homeless 330(h) grantee through the Bureau of Primary Healthcare since 1989 and was designated as a Federally Qualified Health Center (FQHC) in 1966.

ANALYSIS

Florida Statute 287.057 exempts the following services from competitive bidding: Prevention Services related to mental health, including drug abuse prevention programs, child abuse prevention programs, and shelter for runaways, operated by not-for-profit corporations. 

Under the proposed reallocation of funds, the City’s Homeless Outreach Services will refer individuals experiencing homelessness to CHC for Outreach Healthcare Services. The contractor will commit a team inclusive of a psychiatric advanced practical registered nurse (APRN) and/or advanced practical registered nurse (APRN) and a medical assistant for the collaboration. In addition, the following Outreach Healthcare Services will be provided under the agreement: 

·       On-site medical and psychiatric care management;

·       Wound care; 

·       Case management coordination;

·       Coordination with in-clinic services; and

·       Delivery of medications.

The City’s Homeless Outreach Services team will work collaboratively to identify and refer homeless individuals on the streets who can benefit from resources and services provided by CHC. 

SUPPORTING SURVEY DATA

Not applicable.

FINANCIAL INFORMATION

$100,000 from FY 2023 Budget.
Amount(s)/Account(s):
011-0560-000349-23-405-575-00-00-00

CONCLUSION

The Administration is referring this item to the Finance and Economic Resiliency Committee for a discussion on the repurposing of FY 2023 funds in the amount of $100,000 previously allocated to Camillus House, Inc. Lazarus Project to Camillus Health Concern, Inc. 

Applicable Area

Citywide
Is this a "Residents Right to Know" item, pursuant to City Code Section 2-14? Does this item utilize G.O. Bond Funds?
No No 

Strategic Connection

Mobility - Address homelessness.
Legislative Tracking
Housing and Community Services