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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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January 8, 2007
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BOARD MEETING DATE:
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January 23, 2007
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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, Health Department
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Gale Bataille, Director of Mental Health Services
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SUBJECT:
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Performance Agreement with the State Department of Mental Health
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board of Supervisors to execute a performance agreement with the State Department of Mental Health for the term of July 1, 2006 through June 30, 2007.
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VISION ALIGNMENT:
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Commitment: To 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 and goal by committing Mental Health Services to implementation and maintenance of a variety of local programs as well as Client Services Information (CSI) reporting.
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Performance Measure
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FY 2005-06
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FY 2006-07
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Client and service reporting information error rate
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.01%
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.01%
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BACKGROUND:
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The 1991-92 State budget changed mental health funding from a State allocation system to sales tax funding with more local control. Section 5602 of the California Welfare and Institutions Code established a mandate for county performance agreements to replace previous agreements used between counties and the State. For several years the State Department of Mental Health (DMH) has required that we have in place a contract with them that includes various administrative assurances and program principles. The contract also requires that the County provide a variety of local specialized mental health programs, and includes reporting requirements for San Mateo County grant programs administered by the State.
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DISCUSSION:
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This agreement with the State Department of Mental Health (DMH) establishes administrative assurances and the County’s commitment to implement local programs for FY 2006-07. The local programs include Children’s System of Care Initiative (CSOC), Integrated Services for Homeless Adults with Severe Mental Illness, Program for Assistance in Transition from Homelessness (PATH), Substance Abuse and Mental Health Services Administration (SAMHSA) Grant Base Program, and Integrated Services for Homeless Adults with severe mental illness (AB 2034).
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The administrative assurances in this agreement require that the County report Client and Services Information (CSI) data to DMH within 60 days after each month’s end and make diligent efforts to minimize the error rate.
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DMH requires collection of client intake and annual discharge data in order to report compliance with state standards for the Adult Performance Outcome System (APOS) and the Children and Youth Performance Outcome System (CPOS). Twice annually for a two-week period mandated surveys are administered to clients who are receiving services. These data collection periods take place once in the fall and once in the spring. The data collection requirements are incorporated in 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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FISCAL IMPACT:
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This agreement does not provide allocation of funds for these programs. Funding allocations are contained in separate agreements with DMH. Should State funding for any of these programs be discontinued, the County will not be obligated to meet the performance goals for the affected programs.
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