COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

August 31, 2006

BOARD MEETING DATE:

September 19, 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

Brian Zamora, Director, Public Health & Environmental Protection

SUBJECT:

Agreement with Youth and Family Enrichment Services

RECOMMENDATION:

Adopt a Resolution:

1) Waiving the request for proposals requirement for youth development services;

2) Authorizing the President of the Board to execute an agreement with Youth and Family Enrichment Services (YFES) for mental health services, community worker services for the Pre-to-Three program, and support for the Youth Development Initiative for the term July 1, 2006 through June 30, 2007, for a maximum obligation of $899,428, Net County Cost of $276,408; and

3) 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: 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 mental health services as authorized by the Mental Health Plan (MHP) for girls in the Juvenile Drug Court Expansion Program and child abuse treatment services. This agreement also provides case management services for the Pre-to-Three program and youth asset development support services for the Youth Development Initiative (YDI).

Performance Measures:

Measure

FY 2005-06
Actual

FY 2006-07
Projected

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

95%

95%

Pre-to-Three: Percent of Pre-to-Three families in which children have been screened for developmental delays.

86%

90%

Youth Development Initiative: Percent of YDI members reporting an improvement in the following external assets as a result of their participation in the program: community values youth, youth as resources, and adults as role models, as indicated by an exit interview at the end of the Youth Commission term.

N/A*

85%

* This is a new measure for FY 2006-07.

BACKGROUND:

For several years the Health Department has contracted with YFES and its predecessor organizations to provide a variety of health services. These include: services authorized by the MHP, Girls’ Juvenile Drug Court expansion program services and child abuse treatment services for Mental Health; community worker services for the Public Health Pre-to-Three program; and support of the YDI for Health Policy, Planning and Promotion (HPPP). YFES was previously selected through three request for proposals (RFP) processes to provide mental health services authorized by the MHP, child abuse treatment services, and community worker services. On March 28, 2006 your Board waived the RFP process for the Girls’ Juvenile Drug Court expansion program services.

Since 2000 YFES has provided youth asset development support services in support of the YDI. YFES has developed a protocol for recruiting, training, and staffing youth for boards and commissions in the county. Starting with the FY 2006-07 agreement, YFES will develop and maintain the San Mateo County Youth Commission, whose role will be to advise on policy affecting youth in San Mateo County.

DISCUSSION:

The term of the Agreement is July 1, 2006 through June 30, 2007. The scope of services provided in FY 2005-06 is being maintained for FY 2006-07, with the addition of one fulltime clinical mental health position being added to the existing YFES hotline for adolescents.

HPPP is requesting a waiver of the request for proposal requirements for this agreement for YDI services. The continuity of the agreement with YFES is critical to ensuring that the Youth Commission continues to be an integral part of service delivery for the County. This year the youth as a group will conduct a needs assessment and gap analysis among their high school-aged peers.

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. This agreement is on the continuing resolution.

FISCAL IMPACT:

The agreement maximum is $899,428. The Mental Health maximum is $392,172 of which $153,240 is paid for by State and Federal Medi-Cal, $3,307 from Healthy Families, $7,110 from Healthy Kids, $41,950 provided by the Human Services Agency, $100,000 from the Mental Health Services Act funds, and $52,927 from sales tax provided through realignment. The Net County Cost (NCC) for Mental Health is $33,638. The amount for Pre-to-Three community worker services is $380,556, of which $116,070 is paid for by First 5 grant funds, $148,416 from Medi-Cal Targeted Case Management, and the balance of $116,070 is NCC. The cost for Youth Development services is $126,700, which is entirely NCC. The total NCC is $276,408. These costs are included in the Health Department’s tentatively Adopted FY 2006-07 Budget.