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

 

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.