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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Department
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DATE:
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August 25, 2006
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BOARD MEETING DATE:
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September 12, 2006
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health
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Gale Bataille, Director of Mental Health Services
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SUBJECT:
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Agreement with Fred Finch Youth Center
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RECOMMENDATION:
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Adopt a Resolution:
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1) Authorizing the President of the Board to execute an agreement with Fred Finch Youth Center for mental health services for youth and children for the term July 1, 2006 through June 30, 2007, for a maximum obligation of $953,373, Net County Cost of $114,405; and
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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.
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VISION ALIGNMENT:
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Commitment: Ensure basic Health and Safety for all.
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Goal 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth and others-achieve a better quality of life.
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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.
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Performance Measures:
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Measure
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Crisis Response In-Home Response Program: Maximum number of psychiatric inpatient county Medi-Cal beds for youth utilized on a daily basis
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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
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87%*
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95%
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*Some clients served in FY 2005-06 were known to have a greater risk of higher level of placement.
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BACKGROUND:
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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 request for proposals (RFP) process to continue to provide these services, and in 2003 this contractor began to provide Day Treatment Services for San Mateo County youth.
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DISCUSSION:
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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 coverage seven days a week, twenty-four hours per day 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.
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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 and youth experiencing stressful transitions or life crises 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 and youth who meet specific criteria. Day Treatment services and associated outpatient mental health services are also provided through this agreement.
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The term of the agreement is July 1, 2006 through June 30, 2007. The agreement has been reviewed and approved by County Counsel and Risk Management.
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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.
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FISCAL IMPACT:
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The total maximum for the term of the agreement is $953,373. Of that amount, $378,000 is for in-home crisis stabilization, including a 3% COLA approved by your Board; $500,000 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 $514,821; Healthy Families expected to fund $38,135, and Healthy Kids expected to fund $19,068. Sales tax provided through realignment will fund $266,944. The budgeted Net County Cost including the 3% COLA and unfunded AB3632 services is $114,405. Funds for this agreement are included in the tentatively Adopted FY 2006-07 Budget.
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