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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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November 29, 2004
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BOARD MEETING DATE:
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December 14, 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, Health Services
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Gale Bataille, Director, Mental Health Services
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SUBJECT:
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Agreement with AchieveKids
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Recommendation
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Adopt a resolution:
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A) Approving a waiver of the request for proposal requirement;
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B) Authorizing the President of the Board to execute an agreement with AchieveKids; and
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C) Authorizing the Director of the Health Services Agency to execute subsequent amendments and minor modifications not to exceed $25,000 and to make minor changes in the type of services and activities provided under the Agreement.
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Background
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For over 12 years AchieveKids has provided non-public school intensive mental health services for children and adolescents (ages 6 to 18) with complex emotional, behavioral, and developmental problems. Children placed at AchieveKids have been referred jointly by Mental Health Services and local school districts. Contracted services are for special education youth who cannot be maintained in public schools.
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Discussion
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Mental Health Services is renewing its Agreement with AchieveKids for the provision of non-public school mental health services for the term July 1, 2004 through June 30, 2005. As of July 1, 2004 AchieveKids has transitioned from providing Day Treatment Rehabilitative Services and Outpatient Mental Health Services to just Outpatient Mental Health Services. The primary service focus is outpatient treatment with close coordination of each client’s educational program with his/her mental health treatment to promote adaptation to the educational setting.
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Mental Health Services is requesting a one-year waiver of the RFP requirement for school based mental health services at AchieveKids. Mental Health Services is redesigning the delivery of AB 3632 mandated mental health services to special education youth in collaboration with the County Office of Education and School Districts for FY 2005-06. AchieveKids is one of the three current providers of these services. On July 13, 2004 the County Manager approved the deferral of a Request for Proposals for school-based mental health services until FY 2005.
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The performance objectives and actual performance are as follows:
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Performance Measures
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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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Minimum percentage of survey respondents who will agree or strongly agree that they are satisfied with services received.
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85%
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* 66%
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85%
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Minimum percentage of children served who will be maintained at their current or reduced level of placement during their course of treatment.
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95%
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100%
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95%
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*Three youth responded to the satisfaction survey. Of the three respondents, two were satisfied.
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Vision Alignment
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This Agreement with AchieveKids 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 and goal by providing non-public school Outpatient Mental Health Services for emotionally and behaviorally disturbed children and adolescents.
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Fiscal Impact
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The term of this Agreement is July 1, 2004 through June 30, 2005. The Agreement has been reviewed and approved by Risk Management and County Counsel.
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AchieveKids was granted a 1% COLA for FY 2004-05 which is reflected in the Agreement maximum of $111,334. It is expected that State and federal Medi-Cal funds will cover $37,477 of the costs. $34,553 will be funded by State allocations for AB3632 services, and sales tax through realignment will cover $12,135. The net County cost is $27,169, which is included in the FY 2004-05 approved budget.
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