COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

December 10, 2007

BOARD MEETING DATE:

December 18, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health

Gale Bataille, Director, Behavioral Health & Recovery Services

SUBJECT:

Agreement with the Ravenswood Family Health Center

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute an Agreement with the Ravenswood Family Health Center for the provision of mental health services for the term December 1, 2007 through June 30, 2010, for a maximum obligation of $624,200.

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 outpatient mental health services to San Mateo County residents and specifically to residents in the underserved area of East Palo Alto.

Performance Measures:

Measure

FY 2006-07 Actual

FY 2007-08 Projected

Percentage of customer survey respondents who rate services as good or better.

N/A*

90%

* There were no services provided in FY 2006-07

BACKGROUND:

As part of an effort to improve access to health services, residents and community agencies formed the East Palo Alto Mental Health Committee. This committee’s scope now includes behavioral health and recovery services. This committee, under the leadership of One-East Palo Alto, worked with County Mental Health Services to identify strategies for improving access to mental health and substance abuse services. One service improvement strategy focused on delivering mental health services within a primary care setting. Expansion of primary care-based mental health services was funded through the Mental Health Services Act proposal approved by the State Department of Mental Health.

Mental Health Services issued a Request for Proposals (RFP) for outpatient mental health services provided within a primary care setting in East Palo Alto in June of 2007. The Ravenswood Family Health Center (RFHC) proposal was selected for funding as a result of that RFP.

DISCUSSION:

RFHC was founded by a coalition of public and community partners and opened in December 2001. It is the only federally funded, nonprofit community health center in San Mateo County. RFHC offers full-scope primary medical care and prevention services to underserved and uninsured individuals and families living in southeast San Mateo County. Primary care-based mental health services will increase access to mental health care in coordination with medical care. In addition, RFHC incorporates attention to cultural values, practices and language of the diverse populations within its catchment area in its outreach and treatment services.

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 term of the Agreement is December 1, 2007 through June 30, 2010. The Agreement maximum is $624,200. Of the maximum amount, $193,800 will be funded through Healthy Families, Healthy Kids and CareAdvantage and $430,400 will be funded through the Mental Health Services Act. There is no Net County Cost. Funds for this Agreement are included in the Behavioral Health and Recovery Services FY 2007-08 Adopted Budget.

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.