COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

June 2, 2006

BOARD MEETING DATE:

June 20, 2006

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Agreements with El Concilio of San Mateo County and Free at Last

RECOMMENDATION:

Adopt a resolution:

A)

Authorizing the President of the Board to execute Agreements with El Concilio of San Mateo County (ELC) for $112,991 and with Free at Last (FAL) for $178,139 for the period of July 1, 2006 to June 30, 2007 to provide prevention case management and HIV street outreach and testing; and

B)

Authorizing the Director of the Health Department to execute subsequent Amendments and minor modifications not to exceed $25,000 for each Agreement and to make minor changes in the types of services and activities provided under these Agreements.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal(s) 5 & 8: Residents have access to healthcare and preventive care; and help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.

These Agreements contribute to the commitments and goals by providing prevention case management, street outreach, education and information on HIV, by increasing the awareness of the availability and locations of testing sites and by augmenting the number of individuals who take an HIV test.

Performance Measure(s):

Measure

FY 2005-06
Estimated*

FY 2006-07
Projected

Number of clients who will receive street outreach, HIV prevention education and information

3,732

4,100

Number of clients who will receive HIV counseling and testing

1080

1230

*These measures were adjusted at the request of the State and reflect the new grant requirements, which focus

on using outreach techniques that target a higher risk population, require longer interventions and discourage

repeat testers.

BACKGROUND:

On January 28, 2003, your Board adopted Resolution Number 065787, accepting a five-year grant from the Substance Abuse Mental Health Services Administration (SAMHSA) for the Center for Substance Abuse Treatment (CSAT) for FYs 2002 through 2007 to provide outreach, assessment, education, counseling, case management, and referrals to drug treatment programs for clients who are substance abusers and at risk for HIV and Hepatitis B and/or C.

On January 4, 2005, your Board adopted Resolution Number 067124, accepting a grant from the California Department of Health Services Office of AIDS (DHS) to provide HIV outreach, referral and testing services for the period of July 1, 2004 to June 30, 2007.

DISCUSSION:

ELC and FAL have been successfully providing street outreach and testing services and prevention case management to SMCAP clients since 1999 and have developed knowledge and expertise about the services provided, the target population and geographic areas to be served. A Request for Proposals (RFP) to provide prevention case management services for the period of January 2003 to June 2007 was released in December 2002 and an RFP for HIV street outreach and testing for the period of July 1, 2006 to June 30, 2009 was released in March 2006. These agencies were selected to provide the services.

The Agreements include all provisions that are required by county ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits and jury service policy. County Counsel has reviewed and approved the Resolution and Agreement as to form.

FISCAL IMPACT:

The term of the Agreements is July 1, 2006 through June 30, 2007. The maximum amount of funding for the Agreements is: $112,991 for ELC and $178,139 for FAL. These funds are included in the recommended AIDS Program budget for FY 2006-07. There is no Net County Cost.