Inter-Departmental Correspondence


Health Services Agency



November 29, 2004


December 14, 2004







Honorable Board of Supervisors


Charlene A. Silva, Director of Health Services

Gale Bataille, Director of Mental Health Services


Agreement with Fred Finch Youth Center


Adopt a Resolution:


Authorizing the President of the Board to execute an agreement with Fred Finch Youth Center; and


Authorizing the Director of the Health Services Agency to execute subsequent amendments and minor modifications not to exceed the aggregate of $25,000 and to make minor changes in the types of services and activities provided under the agreement.



Commitment: To ensure basic health and safety for all.

Goal 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth, and others- achieve a better quality of life.


This agreement contributes to this commitment by providing in-home crisis response services, Day Treatment Services and Therapeutic Behavioral Services (TBS) to youth in order to either maintain them in home or community residences or to maintain them in the least restrictive setting. It is anticipated through the use of crisis response services that the average daily inpatient hospital bed usage for youth in San Mateo County will be no more than 1.5 beds per day. It is anticipated that seventy-five percent of clients youth receiving TBS services will be maintained in their current placement or in a lower level of care for at least six months following the provision of services.


Performance Measures


2003-04 Actuals

2004-05 Objectives

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



TBS: percentage of children/youth who shall be maintained at current or reduced level of placement for at least six months following provision of TBS



* Because these high-risk clients receive services for a short time and there is a high rate of turnover, consistently meeting the 75% objective represents significant accomplishment.



Mental Health Services has contracted with Fred Finch Youth Center to provide Crisis In-Home Stabilization Services and TBS since 1999. In April of 2003 Fred Finch was selected through a RFP process to continue to provide these services, and in 2003 this contractor began to provide Day Treatment Services for San Mateo County youth.



Through this agreement Fred Finch Youth Center will provide crisis response in-home stabilization services to approximately 60 SED youth (ages 5 through 18) and their families. Services are provided 7 days/week, 24 hours/day coverage to our most at risk SED youth. The program goal is to maintain youth in the least restrictive, home-like setting and avoid costly hospitalization and residential care.


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 for SED children/youth experiencing stressful transitions or life crises, and who are at risk of placement in an institution or intensive residential program, or of being unable to transition to a lower level of care. Medi-Cal requires that these services be provided on an immediate basis to children/youth who meet specific criteria. Up to five youth will receive Day Treatment Services and related outpatient mental health services.


The agreement has been reviewed and approved by County Counsel and Risk Management. This agreement is currently on the continuing resolution.



The term of this agreement is July 1, 2004 through June 30, 2005. The total maximum for the term of the agreement is $1,317,660. Of that amount, $359,904 is for in-home crisis stabilization, including a 1% COLA approved by your Board. $750,000 is allocated for TBS, $182,383 is allocated for Day Treatment Services, and $25,373 is allocated for outpatient mental health services.


State and federal Medi-Cal is expected to fund $848,262. The State allocation for AB3632 services is $145,251. The Human Service Agency will fund $81,647 for these services. Sales tax provided through realignment will fund $130,379. The budgeted net County cost for the 1% COLA and unfunded AB3632 services is $112,121.