Inter-Departmental Correspondence

Health Services Agency



December 4, 2003


December 16, 2003


Honorable Board of Supervisors


Margaret Taylor, Director of Health Services

Gale Bataille, Director of Mental Health Services


Amendment to the Agreement with Fred Finch Youth Center


Adopt a resolution authorizing the President of the Board to execute an Amendment to the Agreement with Fred Finch Youth Center.



On September 24, 2002, your Board approved an Agreement with Fred Finch Youth Center for the provision of crisis in-home stabilization and Therapeutic Behavioral Services (TBS). The term of the Agreement was July 1, 2002 through June 30, 2003. The Agreement is currently on the continuing resolution.


In March of this year Fred Finch agreed to also provide Day Treatment Services for San Mateo County youth. Day Treatment Services programs are operated in compliance with regulations issued by the State Department of Mental Health. In November of 2002, the State Department of Mental Health proposed new regulations for Day Treatment Services, which were then expected to have become effective in January of this year. The release of the guidelines was delayed until June, with the new regulations becoming effective July 1, 2003. Mental Health Services deferred completion of Day Treatment agreements until those regulations became effective. Subsequent programmatic changes by contractors in response to these guidelines have further delayed the completion of this and other Day Treatment Services agreements.



In April of this year Mental Health Services released a Request for Proposals for the provision of crisis in-home stabilization and TBS. Fred Finch was one of two providers who responded with proposals. After a panel review of the proposals, Fred Finch was selected to provide these services based upon the strength of their proposal, their extensive knowledge of the requirements and costs of providing these programs, and their experience providing these services in San Mateo County and the Bay Area.


The Agreement with Fred Finch Youth Center is being amended to extend the term for the provision of Crisis In-Home Support services and TBS, and to add the provision of Day Treatment Services and related outpatient mental health services. In addition, required HIPAA language is being added to this Agreement.


Fred Finch Youth Center will provide Crisis In-Home Support services to approximately 60 San Mateo County youth during FY 2003-04. These services are available seven days per week, twenty-four hours per day for our most at risk seriously emotionally disturbed (SED) youth. The program goal is to maintain youth in the least restrictive, most home-like setting and avoid costly hospitalization and residential care.


During this FY 2003-04 Fred Finch Youth Center will also provide TBS to approximately 75 youth up to age 21 who are Medi-Cal beneficiaries. TBS are short-term behavioral intervention services to SED children/youth who are experiencing stressful transitions or life crises, which puts them at risk of placement in an institution or intensive residential program, or of being unable to transition to a lower level of care.


Fred Finch Youth Center will provide Day Treatment Services and related outpatient mental health services to an average of one youth for the period of March 10, 2003 through June 30, 2004.


Performance Measures

2002-03 Objectives

2002-03 Actuals

2003-04 Objectives

Crisis Response In-Home Stabilization Program: Maximum number of psychiatric inpatient county Medi-Cal beds for youth utilized on a daily basis




TBS: % of clients maintained at current or reduced placement level for at least 6 months post provision of TBS




Day Treatment: number of psychiatric hospitalizations during the course of services per enrolled youth.





Vision Alignment

This Amendment to the Agreement with Fred Finch Youth Center 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 amended Agreement contributes to this commitment and goal by providing crisis in-home response services, TBS, and Day Treatment Services.


Fiscal Impact

The term of the agreement is extended one year, making the new term of the agreement July 1, 2002 through June 30, 2004. The total amount of the agreement is increased by $1,254,244 from $1,528,521 to $2,782,765. $18,068 is for 2002-03 expenses for Day Treatment Services, increasing the maximum for FY 2002-03 to $1,546,489. The balance of the increase is $1,236,176 and is for 2003-04.


$1,236,176 is included in the adopted Mental Health budget for FY 2003-04. The services provided with that amount are: $356,342 is for Crisis In-Home Support, $750,000 is for TBS, and $129,834 is for Day Treatment and related outpatient mental health services. $890,047 (72%) is funded by Federal and State Medi-Cal, $185,426 (15%) is funded under Title 1, Div. 7, Chapter 26.5 of the Government Code (mental health services to special education certified youth) through an SB90 state mandated claim. The net county cost is the balance of $160,703 (13%).


Exhibit A



General Description of RFP

Crisis In-Home Support Services and TBS for Mental Health Services Division.


List key evaluation criteria

Demonstration of understanding of clients to be served; experience in providing similar services to similar client populations; program description; cultural competency; organizational capacity; and fiscal narrative.


Where advertised

San Francisco Chronicle, Mental Health Services website.


In addition to any advertisement, list others to whom RFP was sent



Total number sent to prospective proposers



Number of proposals received



Who evaluated the proposals

Deborah Torres, Deputy Director of Child & Youth Services

Linda Simonson, Supervising Mental Health Clinician

Suzanne Abury, Consumer family member

Raja Mitry, Mental Health Board member


In alphabetical order, names of proposers (or finalists, if applicable) and location

Edgewood Center for Children and Families

San Francisco, CA

Fred Finch Youth Center

Oakland, CA