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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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September 9, 2004
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BOARD MEETING DATE:
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September 28, 2004
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health Services
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Gale Bataille, Director of Mental Health Services
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Brian Zamora, Director of Public Health Services
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SUBJECT:
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Agreement with Youth and Family Enrichment Services
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute an agreement with Youth and Family Enrichment Services (YFES)
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Background
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For several years the County contracted with Youth and Family Assistance and Family and Community Enrichment Services to provide mental health and other services. On July 1, 2003, these organizations merged to form a new entity, YFES. On August 12, 2003, your Board approved an agreement with YFES for the provision of services for FY 2003-04. The following services were provided through that agreement: mental health services in the County Receiving Home; mental health services as authorized by Mental Health Managed Care for Medi-Cal clients; mental health services for the Girl’s Juvenile Drug Court expansion, community worker services for the Public Health Pre-to-Three program, and for support of the Public Health Youth Development Initiative.
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Discussion
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The agreement with YFES is being renewed for the term July 1, 2004 through June 30, 2005, with the scope of services for FY 2003-04 being maintained. In the spring of this year Mental Health Services conducted a formal Request for Proposals process for agency providers of mental health services as authorized by Mental Health Managed Care for Medi-Cal clients. YFES submitted a proposal and was selected as a provider of these services.
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Consistent with contract approval level limitations in County Administrative Memorandum B-1, the Director of Health Services will be authorized to execute amendments and modifications to this agreement, not to exceed $25,000 in aggregate.
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Performance Measure
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2003-04 Objectives
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2003-04 Actuals
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2004-05 Objectives
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Insights Receiving Home Program will increase youth served in 2003-04.
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30
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3*
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30
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Percentage of youth receiving Mental Health Services (authorized by MHP) not requiring psychiatry emergency service during one year following initiation of treatment.
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95%
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100%
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95%
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Girls’ Juvenile Drug Court Program participants will reduce utilization of Psychiatric Emergency Services and psychiatric hospitalization by.
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Establish baseline service level
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20%
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20%
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Prenatal-to-Three Community Worker Services: Percent of babies in Pre-to-Three who are breastfed.
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76%
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92%
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92%
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YDI: Percent of participants who report being more aware of youth issues and principles of youth development will increase.
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90%
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83%
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90%
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* Agency merger resulted in program reorganization and staffing changes. New staff required clarification of referral process and client eligibility criteria.
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Vision Alignment
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This agreement will keep 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, Pre-to-Three services, and youth asset development services.
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Fiscal Impact
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The new YFES contract term is July 1, 2004 through June 30, 2005. The agreement maximum is $493,114. The Mental Health maximum is $99,834, which is fully reimbursable through Medi-Cal. $293,280 is for Pre-to-Three Community worker services, which are paid for by grants and Medi-Cal reimbursements; and $100,000 is for the Youth Development Initiative. All of these costs are included in the FY 2004-05 budget for Health Services. The net county cost is $100,000 for the Youth Development Initiative.
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1.
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General Description of RFP
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Outpatient Mental Health Services authorized by Mental Health Plan Provided by Organizations
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2.
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List key evaluation criteria
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1. Applicant Agency’s Experience: a. Experience providing mental health services of the proposed type to mental health clients. b. Capability and experience of key personnel to offer the proposed services.
2. Program Description: Demonstration of a clear understanding of the scope of services to be provided. 3. Board Authorization to Meet Requirements: Letter from the agency’s board of directors or authorized designees indicating the agency’s willingness and capability to comply with all requirements.
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3.
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Where advertised
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San Mateo County Times, San Jose Mercury News
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4.
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In addition to any advertisement, list others to whom RFP was sent
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RFP was sent to organizations currently contracted for these services: Avalon Counseling Services, North Peninsula Family Alternatives (The YMCA of San Francisco / Youth Service Bureaus), Family & Children’s Services, Jewish Family & Children’s Services, Catholic Charities, Edgewood Kinship Services, Seton Medical Center, Youth & Family Enrichment Services, Daly City Youth Health Center (Jefferson Union High School District), Asian Americans for Community Involvement, and Richmond Area Multiservices.
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5.
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Total number sent to prospective proposers
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20 copies sent (multiple copies to some existing service providers)
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6.
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Number of proposals received
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10
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7.
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Who evaluated the proposals
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Managed Care representatives:
Louise Rogers, Deputy Director for Operations
Celia Moreno, Medical Director
Lynda Frattaroli, Supervising MH Clinician
Barbara DeBord, Program Specialist
Ned Brasher, Supervising MH Clinician
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8.
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In alphabetical order, names of proposers (or finalists, if applicable) and location
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North Peninsula Family Alternatives (The YMCA of San Francisco / Youth Service Bureaus), Family & Children’s Services, Jewish Family & Children’s Services, Catholic Charities, Edgewood Kinship Services, Seton Medical Center, Youth & Family Enrichment Services, Daly City Youth Health Center (Jefferson Union High School District), Asian Americans for Community Involvement, and Richmond Area Multiservices.
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