COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

DATE:

February 25, 2009

BOARD MEETING DATE:

March 17, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System

Louise Rogers, Director, Behavioral Health and Recovery Services

SUBJECT:

Agreement with Star View Adolescent Center, Inc.

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Star View Adolescent Center, Inc. for day treatment services and other mental health services for the term October 20, 2008 through June 30, 2010, for a maximum obligation of $397,000; and

2) Authorizing the Chief of the Health System or the Chief’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 mental health services to seriously emotionally disturbed youth in order to maintain them in the least restrictive setting.

Behavioral Health and Recovery Services (BHRS) provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of intensive mental health services for youth is one established level of care. The services provided in this Agreement contribute to this measure.

Performance Measure:

Measure

FY 2007-08
Actual

FY 2008-09 Projected

Percentage of clients maintained at current or lower level of care.

76%

76%

BACKGROUND:

Star View Adolescent Center, Inc. (Star View) operates a Psychiatric Health Facility and a Community Treatment Center providing 24-hour non-hospital acute mental health treatment and residential services located in Los Angeles County. Star View provides day treatment rehabilitation services and day treatment intensive services (five days per week), medication support services, mental health services, and Therapeutic Behavioral Services to San Mateo County youth placed in its residential program. These services are provided in compliance with State regulations.

Under the B-1 Administrative Memorandum, selection of providers of mental health services for clients placed in out-of-county facilities by other agencies are exempt from the requirement for a Request for Proposals (RFP) process. As client placement with Star View was made by the Human Services Agency, the selection of a provider for these services is exempt from the RFP process requirement.

DISCUSSION:

The Agreement with Star View is for the provision of day treatment and other mental health services for a San Mateo County youth who has been unsuccessful in several other residential treatment centers. The need for services for this client necessitated that placement take place prior to the completion of the Agreement. Additionally, further delays in the final contract development were due to extended negotiations over cost issues.

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 October 20, 2008 through June 30, 2010, and the maximum obligation for the term is $397,000. The maximum for FY 2008-09 is $165,000. Of that amount it is anticipated that Medi-Cal will fund $82,500, realignment will fund $33,000, and the remaining $49,500 will be from the State General Fund. There is no Net County Cost. Funds for these services have been included in the BHRS FY 2008-09 Adopted Budget. Similar arrangements will be made for FY 2009-10.