COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

November 17, 2005

BOARD MEETING DATE:

December 6, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Gale Bataille, Director, Mental Health Services Division

Brian Zamora, Director, Public Health & Environmental Protection

SUBJECT:

Agreement with Youth and Family Enrichment Services

RECOMMENDATION:

Adopt a resolution:

A)

Authorizing execution of an agreement with Youth and Family Enrichment Services (YFES) to provide mental health services, community worker services, and support for the Youth Development Initiative for the term of July 1, 2005 through June 30, 2006, in the amount of $766,044, $110,000 Net County Cost.

B)

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

VISION ALIGNMENT:

Commitment: Ensuring Basic Health and Safety for All

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

This agreement contributes to the goals by providing substance abuse services, outpatient dual diagnosis services for adolescents as authorized by the Mental Health Plan, Pre-to-Three and youth asset development services.

Performance Measure(s):

Measure

FY 2004-05
Actual

FY 2005-06
Projected

Mental Health: Percent of youth services not requiring psychiatry emergency service during one year following initiation of treatment.

100%

95%

Pre to Three: Percent of babies who are breastfed.

92%

95%

Youth Development Initiative: Percent of participants who report being more aware of youth issues and principles of youth development.

90%

90%

BACKGROUND:

For several years the County contracted with YFES and its predecessor organizations to provide mental health and other services. The following services were provided through the prior agreement: mental health services in the County Receiving Home, at the Mental Health Access team, and for the Girl’s Juvenile Drug Court expansion; community worker services for the Pre-to-Three program; and support of the Youth Development Initiative.

DISCUSSION:

The agreement with YFES is being renewed for the term July 1, 2005 through June 30, 2006, with the scope of services for FY 2004-05 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.

In May of 2005, Public Health released an RFP for community worker and child care referral services for the Pre-to-Three Initiative. Three proposals, including one from YFES, were submitted by June 27, 2005. Upon review, all three proposers were recommended for contract negotiation.

The Youth Development Initiative annually trains youth leaders who participate on boards and commissions throughout San Mateo County to ensure that programs consider and address the needs of youth. A mentor provides guidance on an issue-specific project developed by the youth. This year, the youth as a group will conduct the needs assessment and gap analysis among their high school-aged peers. There will be a presentation to your Board in Summer 2006.

FISCAL IMPACT:

The contract term is July 1, 2005 through June 30, 2006. The agreement maximum is $766,044. The Mental Health maximum is $286,570: State and Federal Medi-Cal will fund $206,647, the Human Services Agency will provide $42,016, and the balance of $37,907 is from sales tax provided through realignment. The amount for Pre-to-Three community worker services is $369,474, which is paid for by grants and Medi-Cal reimbursements; and $110,000 is for the Youth Development Initiative. All of these costs are included in the FY 2005-06 approved budget for Health. The Net County Cost is $110,000 for the Youth Development Initiative.

1.

General Description of RFP

RFP was released on May 27, 2005 describing need for community worker and child care referral services for the Prenatal-to-Three Initiative. A proposer’s conference was held on June 8, 2005. Three proposals were submitted by June 27, 2005. All three proposers were recommended for contract negotiation.

2.

List key evaluation criteria

• Agency qualifications and experience;

• Alignment of proposer’s description of services to be provided with County need/vision for services;

• Adequate administrative structure to support community worker;

• Clarity of narrative description and compliance with RFP requirements;

• Ability to provide service by targeted starting date;

• Cost

3.

Where advertised

Peninsula Independent, The Sun, Boutique & Villager, San Mateo Weekly, Foster City Progress, Enquirer-Bulletin, Redwood City Tribune

4.

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

Casa Aztlan, Child Care Coordinating Council, Children’s Health Council, Community Association for Rehabilitation, Community Gatepath, Daytop Village, Edgewood Center, El Centro de Libertad, El Concilio, Family Connections, Family Council of Half Moon Bay, Family Service Agency, First 5 San Mateo County, Free at Last, Golden Gate Regional Center, Institute for Human and Social Development, Iris Center, Latino Commission, North Peninsula Neighborhood Services Center, Nursing Mother’s Counsel, Inc., Our Second Home, Pacifica Resource Center, Project Ninety, Pyramid Alternatives, Redwood City Family Centers, Samaritan House, Seton Medical Center, Sitike, Southcoast Collaborative, WIC, Women’s Recovery Association, Youth and Family Enrichment Services

5.

Total number sent to prospective proposers

32

6.

Number of proposals received

3

7.

Who evaluated the proposals

A committee of Pre-to-3 supervisors (Teri Folau, Sharon Jones, David Musikant, Elida Oettel, and Fran Oliden) made a recommendation to Mary Hansell, Director of Pre-to-3.

8.

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

Child Care Coordinating Council, San Mateo

Our Second Home, Daly City

Youth and Family Enrichment Services, San Carlos

1.

General Description of RFP

Outpatient Mental Health Services authorized by Mental Health Plan Provided by Organizations

2.

List key evaluation criteria

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.

3.

Where advertised

San Mateo County Times, San Jose Mercury News

4.

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

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.

5.

Total number sent to prospective proposers

20 copies sent (multiple copies to some existing service providers)

6.

Number of proposals received

10

7.

Who evaluated the proposals

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

8.

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

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.