COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

March 9, 2005

BOARD MEETING DATE:

March 29, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Gale Bataille, Director of Mental Health Services

SUBJECT:

Amendment to the Agreement with Edgewood Center for Children and Families

RECOMMENDATION:

Adopt a resolution authorizing the President of the Board to execute an Amendment to the Agreement with Edgewood Center for Children and Families Services to increase the Agreement total obligation by $1,282,399 to $1,428,631, and to extend the term through June 30, 2006.

VISION ALIGNMENT:

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 and goal by providing mental health services to a vulnerable population.

Performance Measures

2003 – 04 Objectives

2003 – 04 Actual

2004 – 05 Objective

Maximum % of Mental Health Plan cases treated by contractor that shall be admitted to a psychiatric emergency service unit during their course of treatment.

5%

4%

5%

% of families served in the Child Abuse Treatment Program for a period of at least six months who have no recurrence of reported abuse, molestation, or neglect during their course of treatment.

* n/a

* n/a

95%

* New program for this Contractor

BACKGROUND:

Since 1996 Edgewood Center for Children and Families has been providing school based mental health services to San Mateo County children and youth ages five through twelve. Edgewood Center provides three types of school based mental health services to San Mateo County youth: Day Treatment, outpatient mental health services, and Therapeutic Behavioral Services (TBS). Since 1999 Edgewood Center has provided mental health outpatient services to youth and their families under the Mental Health Plan (MHP).

In October 2004 a Request for Proposals (RFP) for the Child Abuse Treatment Program (CAT) was issued by Mental Health Services. Edgewood was one of seven agencies that responded with a proposal, and in January 2005 was selected to begin providing services as of February 1, 2005. Because of the short timeframe between selection and the start of the services, on January 28, 2005, the County Manager authorized an agreement for such services for the period February 1, 2005 through March 31, 2005. That agreement covered the transition of services from Family Service Agency, and Edgewood’s initial start-up period. This amended Agreement supersedes that January 28, 2005 agreement.

DISCUSSION:

In addition to providing school based mental health services and mental health outpatient services under the MHP, Edgewood will provide CAT services for San Mateo County children, ages 6 through 17. These services include individual and family therapy to children and youth who have been abused, molested and/or neglected, and who have been referred to the CAT Program by San Mateo County Children and Family Services (Child Welfare). Edgewood provides CAT services in collaboration with Youth and Family Enrichment Services (YFES) and the University of California at San Francisco Department of Psychiatry (UCSF). Edgewood is subcontracting with YFES and UCSF for select parts of the CAT Program.

The term of this amended Agreement for school-based mental health services and mental health services under the MHP is July 1, 2004, through June 30, 2006, and the term for CAT services is February 1, 2005 through June 30, 2006. This amendment to the Agreement has been reviewed and approved by Risk Management and County Counsel.

FISCAL IMPACT:

The Agreement maximum is being increased by $1,282,399, from $146,232 to $1,428,631. $356,814 of the increase has been included in the FY 2004-05 budget, and $925,585 will be included in the proposed FY 2005-06 budget. For FY 2004-05, an anticipated $203,953 will be covered by Federal and State Medi-Cal, $48,655 will be transferred to Mental Health Services from Human Services Agency for the CAT Program services. Sales tax from realignment will cover $52,475. Net County cost will fund $51,731 which includes the EPSDT required match, and net County cost previously transferred to Mental Health from the Human Services Agency.

Request for Proposal Matrix - Child Abuse Treatment Program

1.

General Description of RFP

Child Abuse Treatment Program for San Mateo County children and youth ages 6 to 17.

2.

List key evaluation criteria

Philosophy and values; applicant experience; program description, including regional service availability countywide; cultural competency; organizational capacity to provide needed services; and financial narrative.

3.

Where advertised

The Independent, Network of Care website, and Mental Health website.

4.

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

See following two pages.

5.

Total number sent to prospective proposers

Thirty-nine.

6.

Number of proposals received

Seven

7.

Who evaluated the proposals

Deborah Torres, Deputy Director of Child/Youth Services, Mental Health Services

Patrick Miles, Quality Improvement Manager, Mental Health Services

Suzanne Aubry, Family Advocate, Mental Health Services

Peter Finck, County Counsel

Jerry Lindner, Manager, Children & Family Services, HSA

8.

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

Asian Americans for Community Involvement, San Jose, CA

ASPIRA (Moss Beach Homes), Daly City, CA Edgewood Center for Children and Families, San Francisco, CA

Families First, Inc., Davis, CA

Family Service Agency of San Mateo County, San Mateo, CA

Fred Finch Youth Center, Oakland, CA

Youth Service Bureaus of the WMCA, San Mateo, CA