COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

August 31, 2007

BOARD MEETING DATE:

September 11, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health

Gale Bataille, Interim Director, Behavioral Health & Recovery Services

SUBJECT:

Agreement with the YMCA of San Francisco

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with the YMCA of San Francisco, dba North Peninsula Family Alternatives, Pacifica Youth Services Bureau and Project FOCYS, for the provision of mental health services for the term July 1, 2007 through June 30, 2008, for a maximum obligation of $238,374; and

2) Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.

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 Juvenile Sexual Responsibility (JSR) and outpatient mental health services authorized through the Mental Health Plan (MHP) to San Mateo County residents.

Performance Measures:

Measure

FY 2006-07 Actual

FY 2007-08 Projected

JSR - At least 90% of youth served shall not re-offend during the time between 4 months after admission and 1 year after completing the program

100%

90%

MHP - Percentage of cases treated by Contractor shall be admitted to a psychiatric emergency service unit during their course of treatment

1%

No more than 5%

BACKGROUND:

Since 1988 Mental Health Services has contracted with the YMCA of San Francisco to provide JSR services to County youth. This high-risk population is difficult to treat due to their need for close monitoring, specialized long-term treatment, and a high recidivism rate. Successful treatment of this population is dependent on continuity of specialized mental health treatment and the development of close collaborative relationships between agencies treating, supervising and monitoring offenders. This contractor has been an agency provider through the MHP since 1996.

Mental Health Services issued a Request for Proposals (RFP) for JSR services in May of 2007. The YMCA submitted the only proposal, which was accepted. In May of 2007 Mental Health Services issued a RFP for outpatient mental health services authorized through the MHP. YMCA responded with a proposal that was accepted.

DISCUSSION:

Mental Health Services is renewing this Agreement with YMCA of San Francisco for the provision of JSR and MHP services. Services shall include assessment and treatment. Treatment services include brief individual, family, and group therapy. The JSR program also provides collateral services, which include contact with family and other collaborative partners, including Juvenile Probation and Child Welfare.

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. The Agreement with this contractor is on the Continuing Resolution.

FISCAL IMPACT:

The term of the Agreement is July 1, 2007 through June 30, 2008. The Agreement maximum is $238,374 with $150,000 being for mental health services authorized by the MHP. The amount for JSR services is $88,374, which includes a 3% COLA. Of the maximum, Medi-Cal will fund $55,505; fees and private insurance will fund $33,108; Healthy Families will fund $7,790; Healthy Kids will fund $23,370; and sales tax provided through realignment will fund $55,506. Probation and the Human Services Agency each provide $21,810 for the JSR Program. The Net County Cost is $19,475 which includes the COLA. Funds for this Agreement are included in the Mental Health Services tentatively Adopted FY 2007-08 Budget.

1.

General Description of RFP

Select provider of program of mental health services for youth with suspected or documented history of perpetrating sexual abuse and their families.

2.

List key evaluation criteria

• History & structure of agency/ organizational capacity

• Philosophy / Service Model

• Staffing Patterns & Operations / Cultural Competency / Facilities

• Quality / Program Evaluation

• Implementation / Timeline

• Budget

3.

Where advertised

San Francisco Examiner

Mental Health Services website

4.

In addition to any advertisement, list others to whom RFP was sent

See attached list.

5.

Total number sent to prospective proposers

Fifty-five.

6.

Number of proposals received

One.

7.

Who evaluated the proposals

Ben Lowey, San Mateo County Office of Education

Valerie Gibbs, Mental Health Board

Fely Rodriguez, Mental Health Board

Deborah Torres, Deputy Director for Child & Youth Services, Mental Health Services

8.

In alphabetical order, names of proposers (or finalists, if applicable) and location

YMCA of San Francisco, San Mateo, CA

1.

General Description of RFP

The provision of community outpatient mental health services delivered by organizations for our Mental Health Services Division. Services shall be provided for adults, children, youth and families who are San Mateo Medi-Cal, Healthy Families, Healthy Kids and Health Plan of San Mateo CareAdvantage beneficiaries. A contract will be awarded specifically for mental health services provided within a primary care setting in East Palo Alto.

2.

List key evaluation criteria

1. History and structure of proposer, 2. Philosophy/service model, 3. Staffing patterns and operations/cultural competency/facilities, 4. Quality/program evaluation, 5. Implementation plan/timeline, and 6. Budget

3.

Where advertised

San Francisco Examiner, posted on county website

4.

In addition to any advertisement, list others to whom RFP was sent

See attached list. Additionally sent RFP to the following interested parties: Community Counseling and Education Center, Fremont; Cleo Eulau Center, Palo Alto; Eastern European Service Agency, San Jose; Ravenswood Family Health Center, East Palo Alto; and A Better Way, Berkeley.

5.

Total number sent to prospective proposers

55

6.

Number of proposals received

11

7.

Who evaluated the proposals

Evaluators were: Louise Rogers, Mental Health Services; Raja Mitry, Mental Health Board; Lynda Frattaroli, Mental Health Services; John Klyver, Mental Health Services; Cheryl Walker, Mental Health Services; Claudia Saggese, Family Liaison, Mental Health Services; Susann Reed, Mental Health Services

8.

In alphabetical order, names of proposers (or finalists, if applicable) and location

Proposers: Catholic Charities CYO, San Mateo; Daly City Youth Health Services, Daly City; Edgewood Center for Youth and Families, San Francisco; Family and Children’s Services, Palo Alto; Jewish Family and Children’s Services, San Francisco; Pyramid Alternatives, Pacifica; Ravenswood Family Health Center, East Palo Alto; Seton Medical Center, Daly City; YMCA – Youth Services Bureau, San Mateo; and Youth and Family Enrichment Services, San Carlos.