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 of Health

Gale Bataille, Director of Mental Health Services

SUBJECT:

Agreement with Fred Finch Youth Center

RECOMMENDATION:

Adopt a resolution:

A)

Authorizing the President of the Board to execute an agreement with Fred Finch Youth Center for the term July 1, 2005 through June 30, 2006 for a maximum obligation of $1,196,074, Net County Cost of $117,472; and

B)

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

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 by providing in-home crisis services, Day Treatment Services and Therapeutic Behavioral Services (TBS) to youth in order to either maintain them in home or community residences or in the least restrictive setting.

Performance Measures:

Measure

FY 2004-05
Actual

FY 2005-06
Projected

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

1.0

1.5 beds per day or less

TBS: percentage of children/youth who shall be maintained at current or reduced level of placement during and for 30 days following the receipt of TBS

93%

95%

BACKGROUND:

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.

DISCUSSION:

Through this agreement Fred Finch Youth Center will provide crisis response in-home stabilization services to approximately 60 severely emotionally disturbed (SED) youth (ages 5 through 18) and their families. Services provide 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. Day Treatment services and associated outpatient mental health services are also provided through this agreement.

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

FISCAL IMPACT:

The term of this agreement is July 1, 2005 through June 30, 2006. The total maximum for the term of the agreement is $1,196,074. Of that amount, $370,701 is for in-home crisis stabilization, including a 3% COLA approved by your Board; $750,000 is allocated for TBS; and $75,373 is allocated for Day Treatment Services and associated outpatient mental health services.

State and federal Medi-Cal is expected to fund $758,577. The State allocation for AB3632 services is $130,380. The Human Service Agency will fund $71,117 for these services. Sales tax provided through realignment will fund $118,528. The budgeted Net County Cost for the 3% COLA and unfunded AB3632 services is $117,472.