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RESOLUTION OF THE BOARD OF COUNTY 6,444•ativa)
COMMISSIONERS("BOCC)OF PITKIN COUNTY,
COLORADO, APPROVING AN
INTERGOVERNMENTAL AGREEMENT BETWEEN
PITKIN COUNTY ("PITKIN") AND ASPEN SCHOOL
DISTRICT('ASD"), ASPEN VALLEY HOSPITAL
("AVIV)AND CITY OF ASPEN ("COA")FOR THE
PURCHASE OF VITAL MENTAL.HEALTH SERVICES
RESOLUTION NO.O ( -2017
RECITALS:
1. Pursuant to Title 29. Article 1,part 2. Colorado Revised Statutes, as amended(the
"Intergovernmental Relations Statutes")and Articla XIV, Section 18 of the
Colorado Constitution,governments may contract with one another to provide any
function, service or facility lawfully authorized to each of the contracting units and
any such contract may provide for the joint esereise of the function, service or
facility. including the establishment of a separate legal entity to do so.
2. Pursuant to Section 2.8 3 (Actions)of the Pitkin County Home Rule Chartet
("I WC") official action by formal resolution shall he required for all actions of the
Board not requiring ordinance power on matters of significant impottance affecting
citizens
3. Pitkin County("Pitkin") and Aspen School District("ASD"), Aspen Valley
Hospital CAVIL-land City of Aspen("COA")wish to enter into an •
intergovernmental agreement for the purposes of pooling their financial resources to
purchase vital mental health services: and
4. Pakm and ASD, AVII and COA are governments authorized to enter into
agreements pursuant to C.R.S. §29-1-203 for purposes including the
provision of any firnetton,sen ice, or facility lawfully authorized to each:and
5. The BOCC finds that it is in the best interests of the citizens of Pitkin and ASO.
AVH and COA to enter into this agreement in order to ensure the health and
welfare of the people who Eve,work and play in Pitkin County.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Pitkin County. Colorado that Pitkm County is authorized to enter into an
Intergovernmental Agreement with Aspen School District, Aspen Valley Hospital and
City of Aspen in substantially the same form satisfactory to the County Attorney, and
authorizes the Chair or designee, to sign the resolution and the agreement on behalf of the
County.
TINS FORM SIIOUl .1) ALWAYS BE ON A SEPARATE PAGE.
INTRODUCED AND FIRST READ ON THE C. DAY OF (_t iU 6FV , 2017.
ANDS.ET FOR SECOND READING AND PUBLIC HEARING ON THEY '_DAY
OFv (.4m1Te12017.
NOTICE OF PUBLIC HEARING AND TITLE AND SHORT SUMMARY OF,THE
RES .EDON PUBLISHEDPUBLISHEDIN TIIE ASPEN TIMES WEEKLY ON THE `,7"1-' DAY
OF 1/r u 2017.
NOTICE OF PUBLIC' HEARING AND THE FULL TEXT OF THE RESOLUTION
POSTED ON TIIE OFFI r PITKIN COUNTY WEBSITE (ww .pitkincountv.com )
ON THE ,i7,01‘• DAY 4 1 _-Vu( Y 2017.
ADOPTED-4 E�FER FINAL READING AND PUBLIC HEARING ON THE csk 64—
DAY OF 1<�4 . .M r 2017.
PUBLISHED BY TITLE AND SHORT�1 SUMMARY-DEER ADOPTION, IN TIIE
ASPEN TIMES WEEKLY ON THE % DAY OF11. tlaLr� , 2017-
POSTED BY TITLE AND SHORT SUMMARY ON THE OFFJ6k PITK[N COUNTY
WEBSITE (u�tvw.vitkincounly.com ) ON THE�j l DAY OF .C(,.6'Jgti// 2017.
ATTEST: BOARD OF COUNTY COMMISSIONERS
1I �Q
BY•_l LI.l. ' ), I By:�C _l,(a
Jeanette Jones George Newman, Chir
Deputy County Clerk
Date' IZ- LI - 2JI {
APPROVED AS TO FORM: MANAGER APPROVAL.
Johr 1yjr ttorney Jon Peacock, County Manager
INTERGOVERNMENTAL AGREEMENT
For The Purchase of Vital Mental Health Services
THIS INT.E. GOVERNMENTAL AGREEMENT (the "Agreement") is made this
/7"a' day of I JC G.ZYrtibe. r , 2017 by and between the Board of County
Commissioners of Pitkin County, Colorado, whose address is 123 Emma Road, Suite
106, Basalt, CO 81621 ("the County"), Aspen Valley Hospital ("AVIV), Aspen School
District ("ASH"), and the City of Aspen. ("COA"), and hereinafter severally referred to
by name or collectively as the "Participating Members'
RECITALS
1. This Agreement is entered into pursuant to, inter cilia, C.R.S. §§ 29-1-201,
et seq., and Article XIV, Section 18 of the Colorado Constitution.
2. Mental Health and Substance use have long been identified as the most
significant health issues facing the people who live, work and play in Pitkin County. High
rates of suicide, mixed messages surrounding the promotion of our "party town", high
rates of depression and anxiety, sleep disturbances,financial pressures, lack of
psychiatric care, lack of specialized support for marginalized populations and the high
cost of treatment, as well as other issues have inspired a number of different non-profit
and private providers to try to step up and respond. Although there are many assets within
the community along the system of care, gaps still remain, and many of our most
vulnerable residents fall through the cracks of a fragmented system.
3 The local funding stakeholders of Pitkin County engaged in a focused
strategic planning process with the purpose of rapidly improving access to mental health
and substance use programs and services for all county residents by changing the way
funding is allocated to programs. These Funders (Pitkin County, Aspen School District,
Aspen Valley Hospital and Pitkin County— "Participating Members") have committed to
improving or creating new funding strategies and to using funding strategically to
strengthen the system of care and improve service delivery.
4. The Participating Members strive to create system of care change that rapidly
improves access to mental health and substance use services for Pitkin County residents
by defining funding methods and applying financial resources to support programs that
reflect system of care priorities, provide needed services and demonstrate collaboration
5. Participating Members have historically supported mental health and
substance use providers through both charitable and support contributions and contracts
for services as ways to address the health, safety and wellbeing of their residents
1
6. Participating Members desire to establish a sustainable, integrated, high-
quality system of care and are committed to realigning funding and human resources to
address ongoing unmet Mental Health needs
7. In July, 2017, Pitkin County, on behalf of the strategic funders' advisory
committee, issued a Request for Proposals (RFP) for the provision of integrated,
collaborative mental health and substance use prevention, intervention, treatment and
case management services. Participating Members selected Mind Springs Health (MSH)
(in collaboration with Mountain Family Health Centers (MFHC)based on their proposal f
community mental health, crisis services, integrated health services and school based
services.
8 Participating Membeis agree to collectively pool their funding to support the
selected vendor in 2018 (MSH and MFHC) for specified community mental health, crisis
stabilization, integrated behavioral health care and school based services. This will
require that the members redeploy funding that is currently being applied in accordance
with contracts, agreements or contribution arrangements for behavioral health sci vices
provided to members and their departments, including: in Pitkin County- Public Health,
Human Services, Healthy Community Fund. Sheriff's Office, Communications Center
and Jail. Departments in the City of Aspen include the Aspen Police Department and City
Manager's office. Departments in the Schools include the Superintendent's office,
Special Education, and School Counselors. Finally, the departments at Aspen Valley
Hospital include the Emergency Department and Patient Care and Intensive Care Unit
(inpatients). At each member's option, contribution arrangements or other contracts may
he continued in order to fulfill existing commitments such as capital campaigns or other
financial support for behavioral health services not otherwise included in this IGA.
9 Participating Members reached an agreement on an initial funding model
for 2018 based on historic funding contributions, to provide integrated, collaborative
mental health and substance use prevention, intervention, crisis stabilization, treatment
and case management programs and agree to consider future funding models and RFP's
as they are submitted.
10. Participating Members already have existing relationships with the
vendors selected for 2018 and it is believed that this agreement will serve to enhance and
strengthen these relationships.
10. Participating Members have agreed to refine the funding model for 2019
to ensure an adequate and equitable distribution of responsibility for future financial
support for integrated, collaborative mental health and substance use prevention,
intervention,crisis stabilization, treatment and case management programs
11. The Participating Members do hereby collectively determine and declare
that this Intergovernmental Agreement is necessary, proper and convenient for the
continued fostering and preservation of the public health, safety and wellbeing.
AGREEMENT
NOW, THEREFORE, for and in consideration of the mutual promises and
agreements of the parties and other good and valuable consideration, the adequacy and
sufficiency of which is hereby acknowledged, the parties agree as follows
ARTICLE 1 —TERM AND EFFECT
1. Effect of IGA—Except as expressly provided herein, this IGA shall replace and
supersede all prior agreements of any kind between all or any of the Participating
Members and any or all other Participating members hereto, to the extent and for
the limited purpose as such other agreements may be related to the provision of
funding collaborative and integrated mental health and substance abuse
prevention, intervention, crisis stabilization, treatment and case management
programs.
2. Term—The initial term of this IGA shall commence on January, 1, 2018 and will
be in effect until any one of the parties terminates the agreement per paragraph 13
of Article III.
ARTICLE 11—FISCAL AGENT AGREEMENT
I. Pitkin County agrees to be the fiscal agent providing payment to Mind Springs
Health (and Mountain Family Health Centers) in the amount of$488,000 in 2018
for collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization, treatment, and case management programs per
the contract and approved in the County's 2018 budget (See Exhibit A- 2018
Scope of Work).
2. The Participating Members agree to provide funding in return for collaborative
and integrated mental health and substance use prevention, intervention,crisis
stabilization, treatment and case management programs as follows. By October
each year Mind Springs Health (and Mountain Family Health Centers) will
provide the County with a budget to fund collaborative and integrated mental
health and substance use prevention, intervention, crisis stabilization, treatment,
and case management programs for the next fiscal year. The share for each entity
will be determined as follows:
3
a In-Kind Contributions:
Pitkin County shall provide, at no cost, space in the Schultz Health
and Human Services Building to Mind Springs Health for
collaborative and integrated mental health and substance use
prevention, intervention, crisis stabilization, treatment and case
management programs. The value of this space is recognized as
$59,766 per year
ii. Aspen School District shall provide, at no cost, space in the Aspen
Middle School for Mind Springs Health a youth and family
clinician. The value of this space is recognized as $45,000 per
year
h. Participating Members will provide cash funding to Pitkin County for
collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization, treatment and case management
programs: Any changes to the total amount or the formula in subsequent
fiscal veal contributions will be approved by the managers of Participating
Members and will replace the list below;
i. In 2018, Aspen Valley Hospital agrees to pay $73,275 of the
provision of collaborative and integrated mental health and
substance use prevention, intervention, crisis stabilization,
treatment and case management programs provided by Mind
Springs Health and Mountain Family Health Centers
it. In 2018, Aspen School district agrees to pay $40,000 for the
provision of a school based youth and family clinician provided by
Mind Springs Health.
iii. In 2018, City of Aspen agrees to pay $70,550 for the provision of
collaborative and integrated mental health and substance use
prevention, intervention, crisis stabilization, treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
iv In 2018, Pitkin County agrees to pay $304,507 for the provision of
collaborative and integrated mental health and substance use
prevention, intervention, crisis stabilization, treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
c. Pitkin County will pay Mind Springs Health monthly based on invoices of
actual expenses less other revenues.
d. Participating Members will seek other funding partners and grants to
continue to support these essential community services and address gaps
in service
4
a. Quality Assurance- Participating Members are committed to woilung
together to ensure that relevant performance measures are developed and
utilized for the purpose of on-going evaluation of services provided by the
vendor(s) in accordance with the representations made in the vendor(s)
response to the RFP and in order to meet the needs of the community
i. Pitkin County Public Health will be responsible for contract
compliance with the selected vendors
ii Participating Members agree to meet monthly to review
performance measures, along with financial expenditures and
budget compliance, during the first six months, then quarterly
thereafter
in. Participating Members agree to assign staff to participate in
monthly operations reviews (protocols. issues, needs,
communication,debriefs, etc) with vendors
iv. Participating Members agree to develop performance measures
with the vendor and to support the measurement process by
providing data as necessary from the perspective of each member's
operations.
ARTICLE III—GENERAL PROVISIONS
1. Assignability. This agreement is not assignable by either party
2. Modification This Agreement may be changed or modified only in writing by an
agreement approved by the respective Boards of the Governments and signed by
authorized officers of each party.
3. Entire Agreement. This Agreement constitutes the entire Agreement between the
parties and all other promises and agreements relating to the subject of this
Agreement, whether oral or written, are merged herein.
4 Severability. Should any one or more sections or provisions of this Agreement he
judicially adjudged invalid or unenforceable, such judgment shall not affect,
impair, or invalidate the remaining provisions of this Agreement, the intention
being that the various sections and provisions hereof arc severable.
5. Notices. Any notice required or permitted under this Agreement shall be in
writing and shall be provided by electronic delivery to the e-mail addresses set
forth below and by one of the following methods 1) hand-delivery or 2) registered
or certified mail, postage pre-paid to the mailing addresses set forth below Each
party by notice sent under this paragraph may change the address to which future
notices should be sent. Electronic delivery of notices shall he considered
delivered upon receipt of confirmation of delivery on the part of the sender.
5
Nothing contained herein shall be construed to preclude personal service of any
notice in the manner prescribed for personal service of a summons or other legal
process.
To: Jon Peacock With copies to:
Pitkin County Manager Pitkin County Attorney's Office
123 Emma Road 123 Emma Road. Suite 204
Basalt, CO 81621 Basalt. CO 81621
970-920-5067 attorney@'pitkincountv.com
To: Steve Barwick City of Aspen Attorney
City Manager 130 South Galena Street
130 South Galena Street Aspen, CO 81611
Aspen, CO 81611 970-920-5212
970-920-5212
To: Dave Ressler Aspen Valley Hospital Attorney
Chief Executit e Officer 0401 Castle Creek Road
0301 Castle Creek Road Aspen. CO 81611
Aspen, CO 81611 970-925-1142
970-544-1261
To: John Maloy Aspen School District Attorney
Superintendent 235 High School Road
235 High School Road Aspen, CO 81611
Aspen, CO 81611 970-925-3760
970-925-3760
6. Goi'ernment Immunity. The parties agree and understand that both parties are
relying on and do not waive, by any provisions of this Agreement, the monetary
limitations or terms or any other rights, immunities, and protections provided by
the Colorado Governmental immunity Act, C.R.S. 24-10-101,et seq.. as from
time to time amended or otherwise available to the parties or any of their officers,
agents, or employees.
7. Current Year Obligations. The parties acknowledge and agree that any payments
provided for hereunder or requirements for future appropriations shall constitute
only currently budgeted expenditures of the parties. The parties' obligations
under this Agreement are subject to each individual party's annual right to budget
and appropriate the sums necessary to provide the services set forth herein. No
provision of this Agreement shall be construed or interpreted as creating a
multiple fiscal year direct or indirect debt or other financial obligation of either or
both parties within the meaning of any constitutional or statutory debt limitation.
6
This Agreement shall not be construed to pledge or create a lien on any class or
source of either parties' bonds or any obligations payable from any class or source
of each individual party's money.
8. Binding Rights and Obligations. The rights and obligations of the parties under
this Agreement shall be binding upon and shall inure to the benefit of the parties
and their respective successors and assigns.
9. Agreement made in Colorado. This Agreement shall be construed according to
the laws of the State of Colorado, and venue for any action shall be in the District
Court in and for Pitkin County, Colorado.
10. Attorney Fees. In the event that legal action is necessary to enforce any of the
provisions of this Agreement, the substantially prevailing party, whether by final
Judgment or out of court settlement, shall recover from the other party all costs
and expenses of such action or suit including reasonable attorney's fees
11. No Waiver. The waiver by any party to this Agreement of any term or condition
of this Agreement shall not operate or he construed as a waiver of any subsequent
breach by any party.
12. Authority. Each person signing this Agreement represents and warrants that said
person is fully authorized to enter into and execute this Agreement and to bind the
party it represents to the terms and conditions hereof.
13. Termination Prior to Expiration of Term Any Party has the right to terminate or
withdraw from this Agreement, with or without cause, by giving written notice to
the other Parties of such termination and specifying the effective date thereof.
Such notice shall be given at least ten (10) days before the effective date of such p%
termination. Termination of the Agreement relieves the cancelling or withdrawing
Party of any further responsibility under this Agreement except for specifically
identified obligations of a continuing nature based upon pass performance under
the Agreement.
The foregoing Agreement is approved by the Board of County Commissioners of
Ptrkin County, Colorado at its regular meeting held on the )-oJ day of
lf;C Udigout✓ , 2017
The foregoing Agreement is approved by\Aspen School District at its regular
meeting held on the i'd' day of "et rY . 2�. '10l
I 7
ASPEN SCHOOL DISTRICT
By: Date:__
Sheila Wills, Chair
The foregoing Agreement is approved by Aspen Valley Hospital at its regular
meeting held on the day of , 2017.
ASPEN VALLEY HOSPITAL DISTRICT
By: Date:
Mindy Nagle, Chair
The foregoing Agreement is approved by City of Aspen at its regular meeting
held on the day of , 2017.
CITY OF ASPEN
By: Date-
Steve
ate Steve Skadron, Mayor
In Witness whereof, the parties hereto have caused this agreement to be executed as of
the day and year first above written.
BOARD OF COUNTY COMMISSIONERS APPROVED AS TO FORM
OF P11 KIN COUNTY, COLORADO
c \
i
By: Lata. By:
Chair County Attorney
Manager Approval:
By.
ii01111P __—
J -acock, County Manager
8
Counterpart to IGA by Aspen School District
Approved January 8, 2018
INTERGOVERNMENTAL AGREEMENT
For The Purchase of Vital Mental Health Services
,',,,,,A�tt"THIS 1N3RGOVERNMENTAL AGREEMENT(the"Agreement')is made this
ev-- day of PP e...P.w hips 2017 by and between the Board of County
Commissioners of Pitkin County, Colorado, whose address is 123 Emma Road, Suite
106,Basalt, CO 81621 ("the County"), Aspen Valley Hospital ("AVH"),Aspen School
District("ASO"), and the City of Aspen. ("COA"),and hereinafter severally referred to
by name or collectively as the"Participating Members".
RECITALS
I. This Agreement is entered into pursuant to,infer alias C.R.S. §§29-1-201,
et seq.,and Article XIV,Section 18 of the Colorado Constitution.
2. Mental Health and Substance use have long been identified as the most
significant health issues facing the people who live,work and play in Pitkin County.High
rates of suicide,mixed messages surrounding the promotion of our'party town",NO
rates of depression and anxiety,sleep disturbances,financial pressures,lack of
psychiatric care,lack of specialized support for marginalized populations and the high
cost of treatment,as well as other issues have inspired a number of different non-profit
and private providers to try to step up and respond.Although there are many assets within
the community along the system of care,gaps still remain,and many of our most
vulnerable residents fall through the cracks of a fragmented system.
3. The local funding stakeholders of Pitkin County engaged in a focused
strategic planning process with the purpose of rapidly improving access to mental health
and substance use ptograms and services for all county residents by changing the way
funding is allocated to programs. These Funders(Pitkin County,Aspen School District,
Aspen Valley Hospital and Pitkin County—"Participating Members')have committed to
improving or creating new funding strategies and to using finding strategically to
strengthen the system of care and improve service delivery.
4. The Participating Members strive to create system of care change that rapidly
improves access to mental health and substance use services for Pitkin County residents
by defining funding methods and applying financial resources to support programs that
reflect system of care priorities,provide needed services and demonstrate collaboration.
5. Participating Members have historically supported mental health and
substance use providers through both charitable and support contributions and contracts
for services as ways to address the health,safety and wellbeing of their residents.
1
6. Participating Members desire to establish a sustainable,integrated,high-
quality system of care and are committed to realigning funding and human resources to
address ongoing unmet Mental Health needs
7. In July, 2017,Pitkin County, on behalf of the strategic hinders' advisory
committee, issued a Request for Proposals (RFP)for the provision of integrated,
collaborative mental health and substance use prevention, intervention,treatment and
case management services. Participating Members selected Mind Springs Health(MSH)
(m collaboration with Mountain Family Health Centers(MFHC)based on their proposal f
community mental health, crisis services,integrated health services and school based
services
8. Participating Members agree to collectively pool their finding to support the
selected vendor in 2018 (MSH and MFHC)for specified community mental health, crisis
stabilization, integrated behavioral health care and school based services.This will
require that the members redeploy funding that is currently being applied in accordance
with contracts,agreements or contribution arrangements for behavioral health services
provided to members and their departments,including hi Pitkin County-Public Health,
Human Services,Healthy Community Fund, Sheriff's Office, Communications Center
and Jail Departments in the City of Aspen include the Aspen Police Department and City
Manager's office. Departments in the Schools include the Superintendent's office,
Special Education, and School Counselors. Finally,the departments at Aspen Valley
Hospital include the Emergency Department and Patient Care and Intensive Care Unit
(inpatients).At each member's option, contribution arrangements or other contracts may
be continued in order to fulfill existing commitments such as capital campaigns or other
financial support for behavioral health services not otherwise included in this IGA.
9. Participating Members reached an agreement on an initial funding model
for 2018 based on historic funding contributions,to provide integrated, collaborative
mental health and substance use prevention,intervention,crisis stabilization,treatment
and case management programs and agree to consider future funding models and RFP's
as they are submitted.
10. Participating Members already have existing relationships with the
vendors selected for 2018 and it is believed that this agreement will serve to enhance and
strengthen these relationships.
10. Participating Members have agreed to refine the funding model for 2019
to ensure an adequate and equitable distribution of responsibility for future financial
support for integrated,collaborative mental health and substance use prevention,
intervention, crisis stabilization, treatment and case management programs
2
11. The Participating Members do hereby collectively determine and declare
that this Intergovernmental Agreement is necessary, proper and convenient for the
continued fostering and preservation of the public health, safety and wellbeing.
AGREEMENT
NOW, THEREFORE, for and in consideration of the mutual promises and
agreements of the parties and other good and valuable consideration, the adequacy and
sufficiency of which is hereby acknowledged, the parties agree as follows
ARTICLE 1 —TERM AND EFFECT
1. Effect of IGA—Except as expressly provided herein, this IGA shall replace and
supersede all prior agreements of any kind between all or any of the Participating
Members and any or all other Participating members hereto, to the extent and for
the limited purpose as such other agreements may be related to the provision of
funding collaborative and integrated mental health and substance abuse
prevention, intervention, crisis stabilization, treatment and case management
programs.
2 Term—The initial term of this IGA shall commence on January, 1, 2018 and will
be in effect until any one of the parties terminates the agreement per paragraph 13
of Article III.
ARTICLE 11 —FISCAL AGENT AGREEMENT
1. Pitkin County agrees to be the fiscal agent providing payment to Mind Springs
Health (and Mountain Family Health Centers) in the amount of$488,000 in 2018
for collaborative and integrated mental health and substance use prevention,
intervention,crisis stabilization, treatment, and case management programs per
the contract and approved in the County's 2018 budget(See Exhibit A- 2018
Scope of Work).
2. The Participating Members agree to provide funding in return for collaborative
and integrated mental health and substance use prevention, intervention, crisis
stabilization, treatment and case management programs as follows By October
each year Mind Springs Health (and Mountain Family Health Centers) will
provide the County with a budget to fund collaborative and integrated mental
health and substance use prevention, intervention, crisis stabilization, treatment,
and case management programs for the next fiscal year. The share for each entity
will be determined as follows
3
a In-Kind Contributions:
i. Pitkin County shall provide, at no cost,space in the Schultz Health
and Human Services Building to Mind Springs Health for
collaborative and integrated mental health and substance use
prevention,intervention,crisis stabilization,treatment and case
management programs.The value of this space is recognized as
$59,766 per year.
ii. Aspen School District shall provide, at no cost,space in the Aspen
Middle School for Mind Springs Health a youth and family
clinician. The value of this space is recognized as $45,000 per
year.
b. Participating Members will provide cash funding to Pitkin County for
collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization,treatment and case management
programs:Any changes to the total amount or the formula in subsequent
fiscal year contributions will be approved by the managers of Participating
Members and will replace the list below;
i. In 2018,Aspen Valley Hospital agrees to pay$73,275 of the
provision of collaborative and integrated mental health and
substance use prevention, intervention,crisis stabilization,
treatment and case management programs provided by Mind
Springs Health and Mountain Family Health Centers
ii. In 2018,Aspen School district agrees to pay$40,000 for the
provision of a school based youth and family clinician provided by
Mind Springs Health.
iii. In 2018,City of Aspen agrees to pay$70,550 for the provision of
collaborative and integrated mental health and substance use
prevention,intervention,crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
iv. In 2018,Pitkin County agrees to pay$304,507 for the provision of
collaborative and integrated mental health and substance use
prevention,intervention,crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
c. Pitkin Count will pay Mind Springs Health monthly based on invoices of
actual expenses less other revenues.
d Participating Members will seek other funding partners and grants to
continue to support these essential community services and address gaps
in service.
4
a. Quality Assurance-Participating Members are committed to working
together to ensure that relevant performance measures are developed and
utilized for the purpose of on-going evaluation of services provided by the
vendor(s)in accordance with the representations made in the vendor(s)
response to the RPP and in order to meet the needs of the community.
i. Pitkin County Public Health will he responsible for contract
compliance with the selected vendors
ii. Participating Members agree to meet monthly to review
performance measures,along with financial expenditures and
budget compliance,during the first six months,then quarterly
thereafter
iii. Participating Members agree to assign staff to participate in
monthly operations reviews(protocols, issues, needs,
communication,debriefs,etc)with vendors
iv. Participating Members agree to develop performance measures
with the vendor and to support the measurement process by
providing data as necessary from the perspective of each member's
operations
ARTICLE III—GENERAL PROVISIONS
1. Assignability_ This agreement is not assignable by either party.
2 Modification This Agreement may be changed or modified only in writing by an
agreement approved by the respective Boards of the Governments and signed by
authorized officers of each party.
3. Entire Agreement. This Agreement constitutes the entire Agreement between the
parties and all other promises and agreements relating to the subject of this
Agreement,whether oral or written,are merged herein.
4. Severability. Should any one or more sections or provisions of this Agreement be
judicially adjudged invalid or unenforceable, such judgment shall not affect,
impair,or invalidate the tenanting provisions of this Agreement,the intention
being that the various sections and provisions hereof are severable.
5. Notices. Any notice required or permitted under this Agreement shall be in
'writing and shall be provided by electronic delivery to the e-mail addresses set
forth below and by one of the following methods 1)band-delivery or 2)registered
or certified mail, postage pre-paid to the mailing addresses set forth below. Each
party by notice sent under this paragraph may change the address to which future
notices should be sent. Electronic delivery of notices shall be considered
delivered upon receipt of confirmation of delivery on the part of the sender.
5
•
Nothing contained herein shall be construed to preclude personal service of any
notice in the manner prescribed for personal service of a summons or other legal
process.
To: Jon Peacock With copies to:
Pitkin County Manager Pitkin County Attorney's Office
123 Emma Road 123 Emma Road, Suite 204
Basalt, CO 81621 Basalt,CO 81621
970-920-5067 attomey(roitkincounty.com
To: Steve Barwick City of Aspen Attorney
City Manager 130 South Galena Street
130 South Galena Street Aspen,CO 81611
Aspen, CO 81611 970-920-5212
970-920-5212
To: Dave Ressler Aspen Valley Hospital Attorney
Chief Executive Officer 0401 Castle Creek Road
0401 Castle Creek Road Aspen,CO 81611
Aspen, CO 81611 970-925-1142
970-544-1261
To: John Maloy Aspen School District Attorney
Superintendent 235 High School Road
235 High School Road Aspen,CO 81611
Aspen, CO 81611 970-925-3760
970-925-3760
6. Government Immunity. The parties agree and understand that both parties are
relying on and do not waive,by any provisions of this Agreement, the monetary
limitations or terms or any other rights, immunities, and protections provided by
the Colorado Governmental Immunity Act,C.R.S. 24-10-101, et seq., as from
time to time amended or otherwise available to the parties or any of their officers,
agents, or employees
7. Current Year Obligations. The parties acknowledge and agree that any payments
provided for hereunder or requirements for future appropriations shall constitute
only currently budgeted expenditures of the parties. The parties' obligations
under this Agreement are subject to each individual party's annual right to budget
and appropriate the sums necessary to provide the services set forth herein No
provision of this Agreement shall be construed or interpreted as creating a
multiple fiscal year direct or indirect debt or other financial obligation of either or
both parties within the meaning of any constitutional or statutory debt limitation.
6
This Agreement shall not be construed to pledge or create a lien on any class or
source of either parties' bonds or any obligations payable from any class or source
of each individual party's money.
8 Binding Rights and Obligations. The rights and obligations of the parties under
this Agreement shall be binding upon and shall inure to the benefit of the parties
and their respective successors and assigns.
9. Agreement made in Colorado. This Agreement shall be construed according to
the laws of the State of Colorado,and venue for any action shall be in the District
Court in and for Pitkin County,Colorado.
10.Attorney Fees. In the event that legal action is necessary to enforce any of the
provisions of this Agreement, the substantially prevailing party,whether by final
judgment or out of court settlement, shall recover from the other party all costs
and expenses of such action or suit including reasonable attorney's fees.
II No Waiver, The waiver by any party to this Agreement of any term or condition
of this Agreement shall not operate or be construed as a waiver of any subsequent
breach by any party
12. Authority. Each person signing this Agreement represents and warrants that said
person is fully authorized to enter into and execute this Agreement and to bind the
party it represents to the terms and conditions hereof.
13. Termination Prior to Expiration of Term. Any Party has the right to terminate or
withdraw from this Agreement, with or without cause, by giving written notice to
the other Parties of such termination and specifying the effective date thereof.
Such notice shall be given at least ten (10) days before the effective date of such
termination.Termination of the Agreement relieves the cancelling or withdrawing
Party of any further responsibility under this Agreement except for specifically
identified obligations of a continuing nature based upon pass performance under
the Agreement
The foregoing Agreement is approved by the Board of County Commissioners of
Pi�km County,Colorado at its regular meeting held on the n0`t day of
' IA;d,bwiny ,^_017
The foiegoing Agrecm__cgqt is approved by Aspen School District at its regular
meeting held on the V"- day of i(i.µ./G_r�/ , 241-7. 200(8
l 7
This Agreement shall not be construed to pledge or create a lien on any c1: : .r
source of either parties'bonds or any obligations payable from any clan• .r source
of each individual party's money.
8. Binding Rights and Obligations. The rights and obligations o e parties under
this Agreement shall be binding upon and shall inure to the .enefit of the parties
and their respective successors and assigns.
9, Agreement made in Colorado. This Agreement :.11 be construed according to
the laws of the State of Colorado,and venue any action shall be in the District
Court in and for Pitkin County,Colorado.
10. Attorney Fees. In the event that le:. action is necessary to enforce any of the
provisions of this Agreement,Pr .ubstantially prevailing party,whether by final
judgment or out of court settLent,shall recover from the other party all costs
and expenses of such acts, or suit including reasonable attorney's fees.
11, No Waiver. The w er by any party to this Agreement of any term or condition
of this Agreeme• shall not operate or be construed as a waiver of any subsequent
breach by an .arty.
12. Autho_a , Each person signing this Agreement represents and warrants that said
pe . is fully authorized to enter into and execute this Agreement and to bind the
, it represents to the terms and conditions hereof.
The foregoing Agreement is approved by the Board of County Commissioners of
Atkin County,Colorado at its regular meeting held on the ' day of
Ut t;2017
The foregoing Agreement is approved ay Aspen School District at its regular
meeting held on theta' day of +.U,v[e.v y , 2017.
ASPEN SCHOOL DIST,IIICT
By:F..,._� l'./✓i _(i Date. Nig
Sheila Wills,Chair
(((
The foregoing Agreeme t is approved by Aspen Valley Hospital at its regular
meeting held on the g day of elitlA.W1 ,201-7. ,e/
7
EXHIBIT A
Pitkin County Mental Health Strategic Funding
2018 Scope of Services with Mind Springs Health Contract
Community Based Mental Health Team-$171,468
• 1.0 FTE Licensed Therapist:Rapid Response Mobile Unit Team Member-intensive,
community based, outpatient treatment focused on high risk individuals who might not
come into a clinic setting Includes peer counseling,case management and therapy
services Intensive Stabilization Program Team Member-after crisis intervention,serve
as a bridge between cnsis services and standard outpatient services.
• 1 0 FTE Case Manager:Rapid Response Mobile Unit Team Member(see above).
Intensive Stabilization Program Team Member(see above)
• 60 Hrs of Advanced Psychiatric Nurse Practitioner time for Jail individuals who need
mental health interventions,but did not meet the state's JBBS critena.Nurse can
prescribe meds to individuals needing medication management.
Integrated Care Team-$197,818
• 2 0 Behavioral Health Specialists:This staff will work in the Mt.Family Basalt Clinic,
and expand the current behavioral health program there They will provide outpatient(6
sessions)services for families,substance use disorders,trauma,hypnosis,animal assisted
and other evidence based therapies
• 2.0 Patient Care Coordinators.Care Coordinators will work in the Mt.Family Basalt
Clmrc,one will be a patient educator,and the other a social health advocate.The patient
educator will advocate for the patient and family,facilitating culturally appropriate
communication between patient and providers and will identify and decrease barriers to
behavior change and improve access to needed services The social health advocate will
provide care coordination to patients who are at most risk for health detenoration and/or
poor outcomes.The social health advocate will assess the determinants of health and
assist the patient in addressing bathers and increase access to services.
• Telepsych(4 hours)to link patients to psychiatric care
School Based Licensed Therapists—118,715
• 1 FTE Aspen School District Therapist-on-sight therapist for students with depression,
trauma,and/or anxiety,substance abuse and consultation with school staff to facilitate
assessment by a multidisciplinary team-available to all three schools
9
Counterpart to IGA by City of Aspen
Approved December 18, 2017
INTERGOVERNMENTAL AGREEMENT
For The Purchase of Vital Mental Health Services
,,,,,,,,,,rr—,�THIS GOVERNMENTAL AGREEMENT(the"Agreement")is made this
ev" day o A »Away 2017 by and between the Board of County
Commissioners of Pitkin County, Colorado,whose address is 123 Emma Road, Suite
106,Basalt, CO 81621 ("the County"), Aspen Valley Hospital CAW"),Aspen School
District("ASD"), and the City of Aspen.("COA"),and hereinafter severally referred to
by game or collectively as the'Participating Members". ,
RECITALS
1. This Agreement is entered into pursuant to,inter alio,CALS. §§29-1-201,
etseq., and Article XIV,Section 18 of the Colorado Constitution.
2. Mental Health and Substance use have long been identified as the most
significant health issues facing the people who live,work and play in Pitkin County.High
rates of suicide,mixed messages surrounding the promotion of our"party town",high
rates of depression and anxiety,sleep disturbances,financial pressures,lack of
psychiatric care,lack of specialized support for marginalized populations and tbahigh
cost of treatment,as well as other issues have inspired a number of different non-profit
and private providers to try to step up and respond.Although there are many assets within
the community along the system of care,gaps still remain,and many of our most
vulnerable residents fall through the cracks of a fragmented system.
3. The local funding stakeholders of Pitkin County engaged in a focused
strategic planning process with the purpose of rapidly improving access to mental health
and substance use programs and services for all county residents by changing the way
funding is allocated to programs. These Funders(Pitkin County,Aspen School District,
Aspen Valley Hospital and Pitkin County—"Participating Members")have committed to
improving or creating new funding strategics and to using funding strategically to
strengthen the system of care and improve service delivery.
4. The Participating Members strive to create system of care change that rapidly
improves access to mental health and substance use services for Pitkin County residents
by defining funding methods and applying financial resources to support programs that
reflect system of care priorities,provide needed services and demonstrate collaboration.
5. Participating Members have historically supported mental health and
substance use providers through both charitable and support contributions and contracts
for services as ways to address the health,safety and wellbeing of their residents.
6. Participating Members desire to establish a sustainable, integrated, high-
quality system of care and are committed to realigning funding and human resources to
address ongoing unmet Mental Health needs
7. In July,2017,Pitkin County,on behalf of the strategic funders' advisory
committee,issued a Request for Proposals(RFP)for the provision of integrated,
collaborative mental health and substance use prevention, intervention,treatment and
case management services Participating Members selected Mind Springs Health(MSH)
(in collaboration with Mountain Family Health Centers (MFHC)based on their proposal f
community mental health,crisis services,integrated health services and school based
services.
8. Participating Members agree to collectively pool their funding to support the
selected vendor in 2018(MSH and MFHC) for specified community mental health, crisis
stabilization,integrated behavioral health care and school based services.This will
require that the members redeploy funding that is currently being applied in accordance
with contracts,agreements or contribution arrangements for behavioral health services
provided to members and their departments,including: iii Pitkm County-Public Health,
Human Services,Healthy Community Fund, Sheriffs Office,Communications Center
and Jail Departments in the City of Aspen include the Aspen Police Department and City
Manager's office. Departments in the Schools include the Superintendent's office,
Special Education, and School Counselors. Finally,the departments at Aspen Valley
Hospital include the Emergency Department and Patient Care and Intensive Care Unit
(inpatients).At each member's option, contribution arrangements or other contracts may
be continued m order to fulfill existing commitments such as capital campaigns or other
financial support for behavioral health services not otherwise included in this IGA.
9. Participating Members reached an agreement on an initial funding model
for 2018 based on historic funding contributions,to provide integrated, collaborative
mental health and substance use prevention,intervention,crisis stabilization,treatment
and case management programs and agree to consider future funding models and RFP's
as they are submitted.
10. Participating Members already have existing relationships with the
vendors selected for 2018 and it is believed that this agreement will serve to enhance and
strengthen these relationships
10. Participating Members have agreed to refine the funding model for 2019
to ensure an adequate and equitable distribution of responsibility for future financial
support for integrated, collaborative mental health and substance use prevention,
intervention, crisis stabilization,treatment and case management programs.
2
11. The Participating Members do hereby collectively determine and declare
that this Intergovernmental Agreement is necessary, proper and convenient for the
continued fostering and preservation of the public health, safety and wellbeing
AGREEMENT
NOW, THEREFORE, for and in consideration of the mutual promises and
agreements of the parties and other good and valuable consideration, the adequacy and
sufficiency of which is hereby acknowledged, the parties agree as follows:
ARTICLE 1—TERM AND EFFECT
Effect of IGA—Except as expressly provided herein, this IGA shall replace and
supersede all prior agreements of any kind between all or any of the Participating
Members and any or all other Participating members hereto, to the extent and for
the limited purpose as such other agreements may be related to the provision of
funding collaborative and integrated mental health and substance abuse
prevention, intervention, crisis stabilization, treatment and case management
programs.
2. Term—The initial term of this IGA shall commence on January, 1, 2018 and will
be in effect until any one of the parties terminates the agreement per paragraph 13
of Article III.
ARTICLE 11—FISCAL AGENT AGREEMENT
1 Pitkin County agrees to be the fiscal agent providing payment to Mind Springs
Health (and Mountain Family Health Centers) in the amount of$488,000 in 2018
for collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization, treatment, and case management programs per
the contract and approved in the County's 2018 budget(See Exhibit A- 2018
Scope of Work).
2. The Participating Members agree to provide funding in return for collaborative
and integrated mental health and substance use prevention, intervention,crisis
stabilization, treatment and case management programs as follows. By October
each year Mind Springs Health (and Mountain Family Health Centers) will
provide the County with a budget to fund collaborative and integrated mental
health and substance use prevention, intervention, crisis stabilization, treatment,
and case management programs for the next fiscal year. The share for each entity
will be determined as follows:
3
•
a. In-Kind Contributions:
i. Pitkin County shall provide, at no cost,space in the Schultz Health
and Human Services Building to Mind Springs Health for
collaborative and integrated mental health and substance use
prevention,intervention, crisis stabilization,treatment and case
management programs.The value of this space is recognized as
$59,766 per year.
ii. Aspen School District shall provide, at no cost, space in the Aspen
Middle School for Mind Springs Health a youth and family
clinician. The value of this space is recognized as$45,000 per
year.
b. Participating Members will provide cash funding to Pitkin County for
collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization,treatment and case management
programs:Any changes to the total amount or the formula in subsequent
fiscal year contributions will be approved by the managers of Participating
Members and will replace the list below;
i. In 2018,Aspen Valley Hospital agrees to pay$73,275 of the
provision of collaborative and integrated mental health and
substance use prevention,intervention, crisis stabilization,
treatment and case management programs provided by Mind
Springs Health and Mountain Family Health Centers
ii. In 2018,Aspen School distnct agrees to pay$40,000 for the
provision of a school based youth and family clinician provided by
Mind Springs Health.
iii. In 2018,City of Aspen agrees to pay$70,550 for the provision of
collaborative and integrated mental health and substance use
prevention, intervention,crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
iv. In 2018,Pitkin County agrees to pay$304,507 for the provision of
collaborative and integrated mental health and substance use
prevention,intervention, crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
c. Pitkin County will pay Mind Springs Health monthly based on invoices of
actual expenses less other revenues.
d Participating Members will seek other funding partners and grants to
continue to support these essential community services and address gaps
in service.
4
a. Quality Assurance-Participating Members are committed to working
together to ensure that relevant performance measures are developed and
utilized for the purpose of on-going evaluation of services provided by the
vendor(s) in accordance with the representations made in the vendor(s)
response to the RFP and in order to meet the needs of the community.
i. Pitkin County Public Health will be responsible for contract
compliance with the selected vendors
ii. Participating Members agree to meet monthly to review
performance measures, along with financial expenditures and
budget compliance, during the first six months,then quarterly
thereafter
in. Participating Members agree to assign staff to participate m
monthly operations reviews(protocols, issues,needs,
communication, debriefs, etc)with vendors
iv. Participating Members agree to develop performance measures
with the vendor and to support the measurement process by
providing data as necessary from the perspective of each member's
operations.
ARTICLE III—GENERAL PROVISIONS
1. Assignability. This agreement is not assignable by either party.
2. Modification. This Agreement may be changed or modified only in writing by an
agreement approved by the respective Boards of the Governments and signed by
authorized officers of each party.
3. Entire Agreement. This Agreement constitutes the entire Agreement between the
parties and all other promises and agreements relating to the subject of this
Agreement,whether oral or written, are merged herein.
4. Severability. Should any one or more sections or provisions of this Agreement be
judicially adjudged invalid or unenforceable, such judgment shall not affect,
impair,or invalidate the remaining provisions of this Agreement,the intention
being that the various sections and provisions hereof are severable.
5. Notices. Any notice required or permitted under this Agreement shall be in
writing and shall be provided by electronic delivery to the e-mail addresses set
forth below and by one of the following methods 1)hand-delivery or 2)registered
or certified mail, postage pre-paid to the mailing addresses set forth below. Each
party by notice sent under this paragraph may change the address to which future
notices should be sent. Electronic delivery of notices shall be considered
delivered upon receipt of confirmation of delivery on the part of the sender.
5
Nothing contained herein shall be construed to preclude personal service of any
notice in the manner prescribed for personal service of a summons or other legal
process.
To: Jon Peacock With copies to:
Pitkin County Manager Pitkin County Attorney's Office
123 Emma Road 123 Emma Road,Suite 204
Basalt, CO 81621 Basalt, CQ 81621
970-920-5067 attomeyapitkincountv.com
To: Steve Barwick City of Aspen Attorney
City Manager 130 South Galena Street
130 South Galena Street Aspen,CO 81611
Aspen, CO 81611 970-920-5212
970-920-5212
To: Dave Ressler Aspen Valley Hospital Attorney
Chief Executive Officer 0401 Castle Creek Road
0401 Castle Creek Road Aspen,CO 81611
Aspen, CO 81611 970-925-1142
970-544-1261
To: John Maloy Aspen School District Attorney
Superintendent 235 High School Road
235 High School Road Aspen,CO 81611
Aspen, CO 81611 970-925-3760
970-925-3760
6. Government Immunity. The parties agree and understand that both parties are
relying on and do not waive,by any provisions of this Agreement,the monetary
limitations or terms or any other rights,immunities,and protections provided by
the Colorado Governmental Immunity Act, C.R.S. 24-10-101, et seq.,as from
time to time amended or otherwise available to the parties or any of their officers,
agents,or employees.
7. Current Year Obligations. The parties acknowledge and agree that any payments
provided for hereunder or requirements for future appropriations shall constitute
only currently budgeted expenditures of the parties. The parties' obligations
under this Agreement are subject to each individual party's annual right to budget
and appropriate the sums necessary to provide the services set forth herein. No
provision of this Agreement shall be construed or interpreted as creating a
multiple fiscal year direct or indirect debt or other financial obligation of either or
both parties within the meaning of any constitutional or statutory debt limitation.
6
This Agreement shall not be construed to pledge or create a lien on any class or
source of either parties' bonds or any obligations payable from any class or source
of each individual party's money.
8 Binding Rights and Obligations The rights and obligations of the panics under
this Agreement shall be binding upon and shall inure to the benefit of the parties
and their respective successors and assigns.
9. Agreement made in Colorado This Agreement shall be construed according to
the laws of the State of Colorado,and venue for any action shall he in the District
Court in and for Pitkin County.Colorado.
10. Attorney Fees In the event that legal action is necessary to enforce any of the
provisions of this Agreement,the substantially prevailing party, whether by final
judgment or out of court settlement, shall recover from the other party all costs
and expenses of such action or suit including reasonable attorney's fees
11 No Waiver. The waiver by any party to this Agreement of any term or condition
of this Agreement shall not operate or be construed as a waiver of any subsequent
breach by any party.
12. Authority Each person signing this Agreement represents and warrants that said
person is fully authorized to enter into and execute this Agreement and to bind the
party it represents to the terms and conditions hereof.
13. Termination Prior to Expiration of Term. Any Party has the right to terminate or
withdraw from this Agreement, with or without cause, by giving written notice to
the other Parties of such termination and specifying the effective date thereof.
Such notice shall be given at least ten (10) days before the effective date of such
termination Termination of the Agreement relieves the cancelling or withdrawing
Party of any further responsibility under this Agreement except for specifically.
identified obligations of a continuing nature based upon pass performance under ‘4j
,.-
the Agreement. t%
The foregoing Agreement is approved by the Board of County Commissioners of
Betikin County.Colorado at its regular meeting held on the 'uA day of
I-;:'f lila uv[r ,2017
The foregoing Agreement is approved Aspen School District at its regular
meeting held on they day of CA-Vw6r 1 ,2Ct . 2OC�
7
The foregoing Agreement is approved by [other governmental entity] at its
regular meeting held on the day of ,2017.
In Witness whereof,the parties hereto have caused this agreement to be executed as of
the day and year first above written.
ASPEN VALLEY HOSPITAL
By: Date:
ASPEN SCHOOL DISTRICT
By: Date:
[Title]
CITY OF ASPEN
By: Ivreiv Date. I2 •ZZ 11--
ASsr
mile]
Y�
BOARD OF COUNTY COMMISSIONERS APPROVED AS TO FORM
OF PITKIN COUNTY,COLORADO
Ry By:
Chair County Attorney
Manager Approval:
By:
Jon Peacock,County Manager
EXHIBIT A
Pitkin County Mental Health Strategic Funding
2018 Scope of Services with Mind Springs Health Contract
Community Based Mental Health Team-$171,468
• 1.0 FTE Licensed Therapist:Rapid Response Mobile Unit Team Member-intensive,
community based,outpatient treatment focused on high risk individuals who might not
come into a clinic setting Includes peer counseling,case management and therapy
services.Intensive Stabilization Program Team Member-after crisis intervention,serve
as a bridge between crisis services and standard outpatient services.
• 1.0 FTE Case Manager:Rapid Response Mobile Unit Team Member(see above).
Intensive Stabilization Program Team Member(see above)
• 60 Hs of Advanced Psychiatric Nurse Practitioner time for Jail:individuals who need
mental health interventions,but did not meet the state's JBBS criteria.Nurse can
prescribe meds to individuals needing medication management.
Integrated Care Team-$197,818
• 2.0 Behavioral Health Specialists:This staff will work in the Mt Family Basalt Clinic,
and expand the current behavioral health program there.They will provide outpatient(6
sessions)services for families,substance use disorders,trauma,hypnosis,animal assisted
and other evidence based therapies.
• 2.0 Patient Care Coordinators:Care Coordinators will work in the Mt.Family Basalt
Clinic,one will be a patient educator,and the other a social health advocate.The patient
educator will advocate for the patient and family,facilitating culturally appropriate
communication between patient and providers and will identify and decrease barriers to
behavior change and improve access to needed services The social health advocate will
provide care coordination to patients who are at most nsk for health deterioration and/or
poor outcomes.The social health advocate will assess the determinants of health and
assist the patient in addressing barriers and increase access to services.
• Telepsych(4 hours)to link patients to psychiatric care
School Based Licensed Therapists—118,715
• 1 FTE Aspen School District Therapist:-on-sight therapist for students with depression,
trauma,and/or anxiety,substance abuse and consultation with gchool staff to facilitate
assessment by a multidisciplinary team-available to all three schools
9
Counterpart to IGA by Aspen Valley Hospital
Approved January 8, 2018
INTERGOVERNMENTAL AGREEMENT
For The Purchase of Vital Mental Health Services
_�,,tt THIS IN RGOVERNMENTAL AGREEMENT(the"Agreement")is made this
dayof b)ems , 2017 by and between the Board of County
Commissioners of Pitkin County, Colorado, whose address is 123 Emma Road, Suite
106,Basalt,CO 61621 ("the County"),Aspen Valley Hospital ("AVM), Aspen School
District("ASD"), and the City of Aspen. ("COA"),and hereinafter severally referred to
by name or collectively as the'Participating Members". ,
RECITALS
1. This Agreement is entered into pursuant to,inter alio, C.R.S.§¢29-1-201,
et seq.,and Article XIV,Section 18 of the Colorado Constitution.
2. Mental Health end Substance use have long been identified as the most
significant health issues facing the people who live,work and play in Pitkin County.High
rates of suicide,mixed messages surrounding the promotion of our party town",high
rates of depression and anxiety,sleep disturbances,financial pressures,lack of
psychiatric care,lack of specialized support for marginalized populations and tha high
cost of treatment,as well as other issues have inspired a number of different non-profit
and private providers to try to step up and respond.Although there are many assets within
the community along the system of care,gaps still remain,and many of our most
vulnerable residents fall through the cracks of a fragmented system.
3. The local funding stakeholders of Pitkin County engaged in a focused
strategic planning process with the purpose of rapidly improving access to mental health
and substance use ptograrns and services for all county residents by changing the way
funding is allocated to programs. These Funders(Pitkin County,Aspen School District,
Aspen Valley Hospital and Pitkin County—"Participating Members")have committed to
improving or creating new funding Strategies and to using funding strategically to
strengthen the system of care and improve service delivery.
4. The Participating Members strive to create system of care change that rapidly
improves access to mental health and substance use services for Pitkin County residents
by defining funding methods and applying financial resources to support programs that
reflect system of care priorities,provide needed services and demonstrate collaboration.
S. Participating Members have historically supported mental health and
substance use providers through both charitable and support contributions and contracts
for services as ways to address the health,safety and wellbeing of their residents.
1
6. Participating Members desire to establish a sustainable, integrated,high-
quality system of care and are committed to realigning funding and human resources to
address ongoing unmet Mental Health needs:
7. In July, 2017,Pitkin County,on behalf of the strategic funders' advisory
committee,issued a Request for Proposals(RFP)for the provision of integrated,
collaborative mental health and substance use prevention,intervention,treatment and
case management services. Participating Members selected Mind Springs Health(MSH)
On collaboration with Mountain Family Health Centers (MFHC)based on their proposal f
community mental health, crisis services,integrated health services and school based
services
8. Participating Members agree to collectively pool their funding to support the
selected vendor in 2018 (MSH and MFHC)for specified community mental health,crisis
stabilization,integrated behavioral health care and school based services.This will
require that the members redeploy funding that is currently being applied in accordance
with contracts,agreements or contribution arrangements for behavioral health services
provided to members and their departments,including: in Pitkin County-Public Health,
Human Services,Healthy Community Fund, Sheriffs Office,Communications Center
and Jail.Departments in the City of Aspen include the Aspen Police Department and City
Manager's office.Departments in the Schools include the Superintendent's office,
Special Education, and School Counselors. Finally,the departments at Aspen Valley
Hospital include the Emergency Department and Patient Care and Intensive Care Unit
(inpatients).At each member's option, contribution arrangements or other contracts may
be continued in order to fulfill existing commitments such as capital campaigns or other
financial support for behavioral health services not othenvise included in this IGA.
9. Participating Members reached an agreement on an initial funding model
for 2018 based on historic funding contributions,to provide integrated, collaborative
mental health and substance use prevention, intervention, crisis stabilization,treatment
and case management programs and agree to consider future funding models and RFP's
as they are submitted.
10. Participating Members already have existing relationships with the
vendors selected for 2018 and it is believed that this agreement will serve to enhance and
strengthen these relationships.
10. Participating Members have agreed to refine the funding model for 2019
to ensure an adequate and equitable distribution of responsibility for future financial
support for integrated,collaborative mental health and substance use prevention,
intervention, crisis stabilization,treatment and case management programs.
2
I 1 The Participating Members do hereby collectively determine and declare
that this Intergovernmental Agreement is necessary,proper and convenient for the
continued fostering and preservation of the public health, safety and wellbeing.
AGREEMENT
NOW, THEREFORE, for and in consideration of the mutual promises and
agreements of the parties and other good and valuable consideration, the adequacy and
sufficiency of which is hereby acknowledged, the parties agree as follows:
ARTICLE 1—TERM AND EFFECT
Effect of IGA—Except as expressly provided herein, this IGA shall replace and
supersede all prior agreements of any kind between all or any of the Participating
Members and any or all other Participating members hereto, to the extent and for
the limited purpose as such other agreements may be related to the provision of
funding collaborative and integrated mental health and substance abuse
prevention, intervention, crisis stabilization, treatment and case management
programs
2. Term—The initial term of this IGA shall commence on January, 1. 2018 and will
be in effect until any one of the parties terminates the agreement per paragraph 13
of Article III
ARTICLE 11 —FISCAL AGENT AGREEMENT
1. Pitkin County agrees to be the fiscal agent providing payment to Mind Springs
Health (and Mountain Family Health Centers) in the amount of$488,000 in 2018
for collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization, treatment, and case management programs per
the contract and approved in the County's 2018 budget(See Exhibit A- 2018
Scope of Work).
2 The Participating Members agree to provide funding in return for collaborative
and integrated mental health and substance use prevention, intervention, crisis
stabilization, treatment and case management programs as follows. By October
each year Mind Springs Health (and Mountain Family Health Centers) will
provide the County with a budget to fund collaborative and integrated mental
health and substance use prevention, intervention, crisis stabilization, treatment,
and case management programs for the next fiscal year. The share for each entity
will be determined as follows.
3
a. In-Kind Contributions:
i. Pitkin County shall provide, at no cost,space in the Schultz Health
and Human Services Building to Mind Springs Health for
collaborative and integrated mental health and substance use
prevention, intervention, crisis stabilization,treatment and case
management programs.The value of this space is recognized as
$59,766 per year
ii. Aspen School District shall provide, at no cost,space in the Aspen
Middle School for Mind Springs Health a youth and family
clinician The value of this space is recognized as$45,000 per
year.
b. Participating Members will provide cash funding to Pitkin County for
collaborative and integrated mental health and substance use prevention,
intervention, crisis stabilization,treatment and case management
programs:Any changes to the total amount or the formula in subsequent
fiscal year contributions will be approved by the managers of Participating
Members and will replace the list below;
i In 2018,Aspen Valley Hospital agrees to pay$73,275 of the
provision of collaborative and integrated mental health and
substance use prevention, intervention, cnsis stabilization,
treatment and case management programs provided by Mind
Springs Health and Mountain Family Health Centers
ii. In 2018,Aspen School district agrees to pay$40,000 for the
provision of a school based youth and family clinician provided by
Mind Springs Health.
iii. In 2018,City of Aspen agrees to pay$70,550 for the provision of
collaborative and integrated mental health and substance use
prevention,intervention,crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
iv. In 2018,Pitkin County agrees to pay$304,507 for the provision of
collaborative and integrated mental health and substance use
prevention,intervention, crisis stabilization,treatment and case
management programs provided by Mind Springs Health and
Mountain Family Health Centers
c. Pitkin County will pay Mind Springs Health monthly based on invoices of
actual expenses less other revenues.
d. Participating Members will seek other funding partners and grants to
continue to support these essential community services and address gaps
in service.
4
a. Quality Assurance-Participating Members are committed to working
together to ensure that relevant performance measures are developed and
utilized for the purpose of on-going evaluation of services provided by the
vendor(s) in accordance with the representations made in the vendor(s)
response to the RFP and in order to meet the needs of the community.
i Pitkin County Public Health will be responsible for contract
compliance with the selected vendors
ii Participating Members agree to meet monthly to review
performance measures,along with financial expenditures and
budget compliance, during the first six months,then quarterly
thereafter
iii. Participating Members agree to assign staff to participate in
monthly operations reviews (protocols, issues, needs,
communication, debriefs,etc)with vendors
iv. Participating Members agree to develop performance measures
with the vendor and to support the measurement process by
providing data as necessary from the perspective of each member's
operations.
ARTICLE III-GENERAL PROVISIONS
1. Assignability. This agreement is not assignable by either party.
2 Modification. This Agreement may be changed or modified only in writing by an
agreement approved by the respective Boards of the Governments and signed by
authorized officers of each party.
3. Entire Agreement. This Agreement constitutes the entire Agreement between the
parties and all other promises and agreements relating to the subject of this
Agreement,whether oral or written, are merged herein.
4. Severability. Should any one or more sections or provisions of this Agreement be
judicially adjudged invalid or unenforceable,such judgment shall not affect,
impair,or invalidate the remaining provisions of this Agreement,the intention
being that the various sections and provisions hereof are severable.
5. Notices. Any notice required or permitted under this Agreement shall be in
writing and shall be provided by electronic delivery to the e-mail addresses set
forth below and by one of the following methods 1)hand-delivery or 2)registered
or certified mail, postage pre-paid to the mailing addresses set forth below. Each
party by notice sent under this paragraph may change the address to which future
notices should be sent. Electronic delivery of notices shall be considered
delivered upon receipt of confirmation of delivery on the part of the sender.
5
Nothing contained herein shall be construed to preclude personal service of any
notice in the manner prescribed for personal service of a summons or other legal
process.
To: Jon Peacock With copies to:
Pitkin County Manager Pitkin County Attorney's Office
123 Emma Road 123 Emma Road, Suite 204
Basalt, CO 81621 Basalt,CQ 81621
970-920-5067 attomev(2 pitkincounty.com
To: Steve Barwick . City of Aspen Attorney
City Manager 130 South Galena Street
130 South Galena Street Aspen,CO 81611
Aspen, CO 81611 970-920-5212
970-920-5212
To: Dave Ressler Aspen Valley Hospital Attorney
Chief Executive Officer 0401 Castle Creek Road
0401 Castle Creek Road Aspen, CO 81611
Aspen, CO 81611 970-925-1142
970-544-1261
To: John Maloy Aspen School District Attorney
Superintendent 235 High School Road
235 High School Road Aspen, CO 81611
Aspen, CO 81611 970-925-3760
970-925-3760
6. Government Immunity. The parties agree and understand that both parties are
relying on and do not waive,by any provisions of this Agreement,the monetary
limitations or terms or any other rights, immunities, and protections provided by
the Colorado Governmental Immunity Act,C.R.S. 24-10-101, et seq., as from
time to time amended or otherwise available to the parties or any of their officers,
agents, or employees.
7. Current Year Obligations. The parties acknowledge and agree that any payments
provided for hereunder or requirements for future appropriations shall constitute
only currently budgeted expenditures of the parties. The parties' obligations
under this Agreement are subject to each individual party's annual right to budget
and appropriate the sums necessary to provide the services set forth herein. No
provision of this Agreement shall be construed or interpreted as creating a
multiple fiscal year direct or indirect debt or other financial obligation of either or
both parties within the meaning of any constitutional or statutory debt limitation.
6
This Agreement shall not be construed to pledge or create a lien on any class or
source of either genies' bonds or any obligations payable from any class or sourer
of each individual party's money.
8. Binding Rights and Obligations The rights and obligations of the panics under
this Agreement shall be binding upon and shall inure to the benefit of the parties
and their respective successors and assigns.
9. Agreement made in Colorado. This Agreement shall be construed according to
the laws of the State of Colorado,and venue for any action shall he in the District
Cour in and for Pukin County,Colorado.
10. Attorney.Pecs. In the event that legal action is necessary to enforce any of the
provisions of this Agreement,the substantially prevailing party, whether by final
judgment or out ol court settlement,shall recover from the other puny all costs
and expenses of such action or suit including reasonable attorney's fees.
I I No Waiver The waiver by any party to this Agreement of any term or condition
of tins Agreement shall not operate or be construed as a waiver of any subsequent
breach by any party.
12. Authority Each person signing this Agreement represents and warrants that said
person is fully authorized to enter into and execute this Agreement and to hind the
party it represents to the terms and Londrbons hereof.
II Termination Prior to Expiration of Term. Any Party has the right to terminate or
withdraw from this Agreement, with or without cause, by giving written notice to
the other Parties of such termination and specifying the effective date thereof.
Such nonce shall be given at least ten (101 days before the effective date of such
termination Termination of the Agreement relieves the cancelling or withdrawing .YJ^
Party of any further responsibility under this Agreement except for specifically
identified obligations of a continuing nature based upon pass performance under
the Agreement.
The foregoing Agreement is approsed by the Board of County Commissioners of
1,'ukin County,Colorado at its regular meeting held on the 2,./fa- day of
• -s,'f dautt[✓.. 2017
The foregoing Agreement is approved ) Aspen School District at its regular
meeting held on the day ol 0. ie 6-1 ,2&t7 2atfr
7
ASPEN VALLEY HOSPITAL DISTRICT
By: Date: I h 1 (Cr
y a av
The foregoing Agreement is,.4pproved by City of Aspen al its regular mating
held on the fey4 day of l✓P 1 2tr.be, 2017.
CITY OF ASPEN
By: Date:
Steve Skadron,Mayor
In Witness whereof,the parties hereto have caused this agreement to be executed as of
the day and year first above written.
BOARD OF COUNTY COMMISSIONERS APPROVED AS TO FORM
OF PIITTIC N COUNTY,COLORADO
BY: l dt (4 ) By:
Chad County A
Manager Approval:
By.
on Peat Co anger
Effective 09-06-2017
This repeals allpreelous rerrlons of This template previously posted to PCIN
8
EXHIBIT A
Pitkin County Mental Health Strategic Funding
2018 Scope of Services with Mind Springs Health Contract
Community Based Mental Health Team-$171,468
• 1.0 FTE Licensed Therapist Rapid Response Mobile Unit Team Member-intensive,
community based, outpatient treatment focused on high risk individuals who might not
come into a clinic setting.Includes peer counseling,case management and therapy
services.Intensive Stabilization Program Team Member-after crisis intervention,serve
as a bridge between crisis services and standard outpatient services.
• 1.0 FTE Case Manager Rapid Response Mobile Unit Team Member(see above)
Intensive Stabilization Program Team Member(see above).
• 60I-Irs of Advanced Psychiatric Nurse Practitioner time for Jail:individuals who need
mental health interventions,but did not meet the state's JBBS criteria.Nurse can
prescribe meds to individuals needing medication management
Integrated Care Team-$197,818
• 2.0 Behavioral Health Specialists:This staff will work in the Mt.Family Basalt Clinic,
and expand the current behavioral health program there.They will provide outpatient(6
sessions)services for families,substance use disorders,trauma,hypnosis, animal assisted
and other evidence based therapies.
• 2.0 Patient Care Coordinators: Care Coordinators will work in the Mt.Family Basalt
Clinic,one will be a patient educator,and the other a social health advocate.The patient
educator will advocate for the patient and family,facilitating culturally appropriate
communication between patient and providers and will identify and decrease barriers to
behavior change and improve access to needed services The social health advocate will
provide care coordination to patients who are at most nsk for health deterioration and/or
poor outcomes.The social health advocate will assess the determinants of health and
assist the patient m addressing barriers and increase access to services.
• Telepsych(4 hours)to link patients to psychiatric care
School Based Licensed Therapists—118,715
• 1 FTE Aspen School District Therapist-on-sight therapist for students with depression,
trauma,and/or anxiety,substance abuse and consultation with school staff to facilitate
assessment by a multidisciplinary team-available to all three schools
9