COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

October 7, 2002

BOARD MEETING DATE:

October 22, 2002

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director, Health Services

Gale Bataille, Director, Mental Health Services

SUBJECT:

Performance Agreement with the State Department of Mental Health

Recommendation

Adopt a resolution authorizing the President of the Board to execute a performance agreement with the State Department of Mental Health (DMH).

Background

The 1991-92 state budget changed mental health funding from a state allocation system to sales tax funding with more local control. Section 5602 of the California Welfare and Institutions Code established a mandate for County Performance agreements and replaced all previous agreements used between counties and the state. This agreement includes various administrative assurances and program principles, a variety of local mental health programs, and reporting requirements for San Mateo County grant programs administered by the State.

Discussion

This agreement establishes the administrative assurances and the County's commitment to implement local programs. The local programs include: Children's System of Care Initiative (CSOC); Integrated Services for Homeless Mentally Ill Adults; Program for Assistance in Transition from Homelessness (PATH); Substance Abuse and Mental Health Services Administration (SAMHSA) Grant Base Program and Dual Diagnosis; and the Supportive Housing Initiative Act (SHIA).

The administrative assurances require that the County report Client and Services Information (CSI) data to DMH within 60 days after month's end and make diligent efforts to minimize the error rate. The CSI error rate outcome for FY 2001-02 and objective for FY 2002-03 are as follows:

Performance Measure

FY 2001-02

FY 2001-02

FY 2002-03

Objective

Actual

Objective

Overall Client and Services Information System (CSI) error rate

Less than 1.0%

.62%

Less than 1.0%

For the past two years DMH required collection of client intake and discharge data in order to report compliance with state standards for the Adult Performance Outcome System (APOS) and the Children and Youth Performance Outcome System (CPOS). That requirement has been suspended for FY 2002-03 so that the State can plan and implement new reporting requirements for FY 2003-04. This agreement also previously covered our use of Napa State Hospital beds, which will now be contracted separately. The agreement for the Napa State beds has not yet arrived from the State, but Mental Health will contract for the same number of beds (7) as in FY 2001-02.

Vision Alignment

This contract with DMH keeps the commitment to Ensure Basic Health and Safety for All and goal number 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth, and others-achieve a better quality of life. This agreement contributes to this vision by committing Mental Health Services to implementation and maintenance of a variety of local programs as well as Client Services Information (CSI) reporting.

Fiscal Impact

This agreement does not provide allocation of funds for these programs. Funding allocations are contained in a separate agreement with the State Department of Mental Health. Should State funding for any of these programs be discontinued, we will not be obligated to meet the performance goals for the affected programs.