Inter-Departmental Correspondence

Health Department



April 16, 2008


May 6, 2008







Honorable Board of Supervisors



Charlene A. Silva, Director of Health


Louise Rogers, Director, Behavioral Health & Recovery Services



First Amendment to Agreement with the Ravenswood Family Health Center



Adopt a Resolution authorizing the President of the Board to execute the First Amendment to the Agreement with the Ravenswood Family Health Center for the provision of mental health services, increasing the maximum obligation by $98,607 for a new maximum of $722,807, with no change to the Agreement term.



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 amended 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 Measure:


FY 2006-07 Actual

FY 2007-08 Projected

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



* There were no services provided in FY 2006-07



In June of 2007 Behavioral Health and Recovery Services (BHRS) issued a Request for Proposals (RFP) for outpatient mental health services provided within a primary care setting in East Palo Alto. As a result of the RFP, the Ravenswood Family Health Center (RFHC) was selected for funding.

As part of an effort to improve access to health services, residents and community agencies formed the East Palo Alto Mental Health Committee and worked with BHRS 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.


On December 18, 2007 your Board adopted Resolution 69150 approving the Agreement with RFHC for professional services for the term December 1, 2007 through June 30, 2010, for a maximum obligation of $624,200.



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.


Through an agreement with Stanford Medical Center, RFHC is now able to provide medication management services by a child psychiatrist. This First Amendment is necessary in order to increase the total funding by $98,607 for child psychiatry services which shall commence April 1, 2008.


The Amendment has been reviewed and approved by County Counsel. 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 term of the Agreement under this Amendment remains December 1, 2007 through June 30, 2010. The total funding is increased by $98,607 for a new maximum obligation of $722,807. The increase will be provided through funds available from the Mental Health Services Act. Funds for FY 2007-08 are $185,485 and are included in the BHRS Adopted Budget. Funds for FY 2008-09 are $267,850 and are included in the BHRS Recommended Budget. There is no Net County Cost. Similar arrangements will be made for subsequent years.