COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

August 23, 2006

BOARD MEETING DATE:

September 12, 2006

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 Nasrin Bashiri, M.D.

Recommendation

Adopt a Resolution:

1)

Authorizing the President of the Board to execute an agreement with Nasrin Bashiri, M.D. for the provision of child psychiatry services for the term August 1, 2006 through June 30, 2007, for a maximum obligation of $111,831; and

2)

Authorizing the Director of Health to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 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.

The agreement contributes to this commitment and goal by providing psychiatric services for youth at various mental health sites.

Performance Measure:

Measure

FY 2005-06 Actual

FY 2006-07 Projected

Percent of clients satisfied with Contractor services

N/A*

90%

* Contractor is a new provider for San Mateo County Mental Health Services.

Background

There has been a shortage of adult and child psychiatrists in California and in the nation for the past several years. Mental Health has found it extremely difficult to fill adult and child psychiatrist positions. Under Administrative Memorandum B-1 agreements with physicians are exempt from the requirement for a Request for Proposals process. Mental Health Services runs advertisements for specialty psychiatric services on a regular basis in the Northern California Psychiatric Newsletter and other venues as needed. Dr. Bashiri was selected from candidates who responded to those advertisements.

Discussion

Dr. Bashiri will provide psychiatric services for at-risk youth in the County Mental Health system. Services shall include youth psychiatric evaluation, treatment, and management, including medication evaluation and monitoring; diagnostic evaluations; psychotherapy; family consultation and therapy; treatment plan review; case consultation with Youth Services Campus Mental Health team members; collaboration with medical staff, Probation staff, and other partner agencies; residency training; and other duties as assigned. The clinic service site is the Youth Services Campus.

The term of this agreement is August 1, 2006 through June 30, 2007. The agreement has been reviewed and approved by County Counsel and Risk Management.

The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

Fiscal Impact

The agreement maximum is $111,831, which has been included in the Mental Health Services’ tentatively Approved FY 2006-07 Budget. State and Federal Medi-Cal is expected to fund $13,420 and sales tax through realignment is expected to fund $98,411. There is no Net County Cost.