COUNTY OF SAN MATEO | ||||||||||||
Inter-Departmental Correspondence | ||||||||||||
Health Services Agency | ||||||||||||
DATE: |
December 6, 2002 | |||||||||||
BOARD MEETING DATE: |
December 17, 2002 | |||||||||||
TO: |
Honorable Board of Supervisors | |||||||||||
FROM: |
Margaret Taylor, Director, Health Services | |||||||||||
Gale Bataille, Director, Mental Health Services | ||||||||||||
SUBJECT: |
Amendment to the Agreement with Youth and Family Assistance | |||||||||||
Recommendation | ||||||||||||
Adopt a resolution authorizing the President of the Board to execute an amendment to the agreement with Youth and Family Assistance. | ||||||||||||
Background | ||||||||||||
Youth and Family Assistance (YFA) has contracted with the Mental Health Services for over 12 years. YFA was the successful respondent to a May 2001 RFP for dual-diagnosis and family mental health outpatient services under the Mental Health Plan (MHP). On December 18, 2001, your Board approved an agreement with YFA for provision of the following services: Juvenile Substance Abuse Services; mental health services for the Insights Receiving Home Program; mental health services through the MHP; Healthcare for Homeless (HCH) Teens through the Department of Hospital and Clinics; and the Youth Development Initiative funded by Health Services Administration. The terms of these programs varied, and several programs have since terminated. | ||||||||||||
Discussion | ||||||||||||
This amendment extends the term of the Insights Receiving Home Program through June 30, 2004. Health Services was awarded a Federal HCH grant for primary care and case management to the county's homeless population for FY 2001-02, and YFA was selected to provide these services following a formal RFP process conducted in Spring 2002. The previous agreement with YFA included the HCH program for the term July 1, 2002 through June 30, 2003. This amendment terminates these services under Health Services as of October 31, 2002. The Department of Hospital and Clinics has developed an agreement with YFA to continue those services beginning November 1, 2002. | ||||||||||||
The terms for the ongoing individual programs in this agreement are specified in the following table. | ||||||||||||
Program |
Original Term |
Amended Term | ||||||||||
Insights Receiving Home Program |
July 1, 2001 - June 30, 2002 |
July 1, 2001 - June 30, 2004 | ||||||||||
Mental Health Services (MHP) |
July 1, 2001 - June 30, 2004 |
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Teen HCH -Hospital & Clinics |
July 1, 2001 - June 30, 2003 |
July 1, 2001 - October 31, 2002 | ||||||||||
Youth Development Initiative (YDI) |
January 1, 2002 - June 30, 2003 |
|||||||||||
The objectives and actual performance from FY 2001-02 and objectives for FY 2002-03 are below. | ||||||||||||
Performance Measure |
2001 - 02 |
2001 - 02 |
2002 - 03 | |||||||||
Objectives |
Actuals |
Objectives | ||||||||||
Insights Receiving Home Program will establish service baseline in 2001-02 and increase youth served in 2002-03. |
N/A |
28 youth |
30 youth | |||||||||
HCH Program: Number of homeless youth receiving mental health or substance abuse case management |
225 |
220 |
225 | |||||||||
HCH: Number of homeless youth receiving health education |
500 |
460 |
500 | |||||||||
YDI: Percent of participants who report being more aware of youth issues and principles of youth development. |
85% |
92% |
90 % | |||||||||
Vision Alignment | ||||||||||||
This amended agreement with YFA 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. The agreement contributes to this commitment by providing substance abuse services, outpatient dual diagnosis services for adolescents as authorized by the Mental Health Plan, homeless teen health care services and youth asset development services. | ||||||||||||
Fiscal Impact | ||||||||||||
The maximum amount for the amended agreement is $609,842, which is a reduction of $51,779 from the original agreement maximum of $661,621, due to the transfer of the HCH Program. The Insights Receiving Home Program has been augmented $23,000 for FY 2002-03 and FY 2003-04. The HCH program is reduced $74,784 due to being terminated from this agreement. The table below summarizes individual program maximums. | ||||||||||||
Program |
2001-2002 Budget |
2002-2003 Budget |
2003-2004 Budget |
Mental Health |
Contract | |||||||
Total |
Total | |||||||||||
Juvenile Substance Abuse |
$45,594 |
closed |
closed |
$45,594 |
$45,594 | |||||||
Insights Receiving Home Program |
$11,500 |
$11,500 |
$11,500 |
$34,500 |
$34,500 | |||||||
Juvenile Delinquency Diversion |
$40,080 |
closed |
closed |
$40,080 |
$40,080 | |||||||
Teen HCH - Hospital & Clinics |
$112,176 |
$37,392 |
closed |
|
$149,568 | |||||||
Youth Development Initiative (YDI) |
$105,100 |
$160,000 |
closed |
$265,100 | ||||||||
Mental Health Services (MHP) |
$25,000 |
$25,000 |
$25,000 |
$75,000 |
$75,000 | |||||||
Grand totals |
$339,450 |
$233,892 |
$36,500 |
$195,174 |
$609,842 | |||||||
The Mental Health maximum for FY 2002-03 is $36,500, which is included in the Mental Health adopted budget. Federal and State Medi-Cal will cover $18,250, and realignment funds will cover $14,965 of the balance. The net County cost will be $3,285. The maximum for HCH services under this agreement for FY 2002-03 is $37,392 and is included in the Hospital and Clinics adopted 2002-03 budget. Those services are funded 100% by the Federal HCH grant. The YDI agreement maximum for FY 2002-03 is $160,000, and is funded from County General Funds and is included in the Health Services Administration 2002-03 adopted budget. |