Inter-Departmental Correspondence

Health System



February 20, 2009


March 17, 2009







Honorable Board of Supervisors



Jean S. Fraser, Chief of the Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Women’s Recovery Association



Adopt a Resolution:

1) Waiving the Request for Proposals requirement for mental health services for clients placed in in-county facilities by other agencies; and


2) Authorizing the President of the Board to execute an Agreement with Women’s Recovery Association for Day Treatment Rehabilitation Services and other mental health services for the term March 3, 2009 through June 30, 2010, for a maximum obligation of $151,200; and


3) 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.



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:


FY 2008-09

FY 2009-10 Projected

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





Women’s Recovery Association (WRA) is a multi-service mental health organization operating an outpatient clinic. WRA provides Day Treatment Rehabilitation Services (five days per week) to San Mateo County youth placed in its program. These services are provided in compliance with State regulations.


Under the B-1 Administrative memorandum, the 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. Clients are being placed with WRA (which is an in-county facility) by the Probation Department and the Child and Family Services Division of the Human Services Agency. BHRS is obligated to provide the necessary mental health services to meet the needs of these clients, which requires a waiver of the RFP requirement for selection of an in-county provider for these services.



The Agreement with WRA is for the provision of Day Treatment Rehabilitation and other mental health services for San Mateo County female youth who are currently placed with Tracey’s Place of Hope in San Mateo. This facility is a residential program operated by WRA that addresses the needs of adolescent girls with co-occurring disorders such as substance abuse and/or mental health issues. These clients are in need of Day Treatment Rehabilitation Services in a group home environment in order to develop independent living skills that will facilitate their returns to home.


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 term of the Agreement is March 3, 2009 through June 30, 2010, and the maximum obligation for the term is $151,200. The maximum obligation for FY 2008-09 is $38,000. Of that amount it is anticipated that Medi-Cal will fund 50% or $19,000, State General Fund (EPSDT) will fund 30% or $11,400 and Realignment will fund 20% or $7,600. 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.