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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health System
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DATE:
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February 25, 2009
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BOARD MEETING DATE:
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March 31, 2009
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean S. Fraser, Chief, Health System
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Louise Rogers, Director of Behavioral Health and Recovery Services
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SUBJECT:
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Agreement with Unity Care Group, Inc.
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RECOMMENDATION:
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Adopt a Resolution:
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1) Authorizing the President of the Board to execute an Agreement with Unity Care Group, Inc. for mental health services, individual and group therapy, medication support services, crisis intervention services and Therapeutic Behavioral Services, for the term August 28, 2008 through June 30, 2010, for a maximum obligation of $280,900; and
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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.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal 8: Help vulnerable people–-the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life.
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This Agreement contributes to this commitment and goal by providing mental health services, individual and group therapy, medication support services, crisis intervention services and Therapeutic Behavioral Services (TBS) for San Mateo County youth.
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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 through this Agreement contribute to this measure.
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Performance Measure:
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Measure
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FY 2009-10
Projected
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Percentage of children served maintained in their current or reduced level of care.
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76%
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BACKGROUND:
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On October 29, 2007, the County Manager approved an Agreement with Unity Care Group, Inc. (Unity Care) for FY 2007-08, for a maximum of $95,094. Services included mental health services involving individual and group therapy and medication support, and TBS. Since there were no projected placements at this facility for FY 2008-09, the Agreement was not renewed when the FY 2007-08 Agreement ended.
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DISCUSSION:
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Due to the recent placement of two San Mateo youth with Unity Care, BHRS must establish an Agreement with this provider for services that include individual and group therapy, medication support, crisis intervention and TBS. Payments will be made for actual services provided. Under the B-1 Administrative Memorandum, services required for specific clients placed in out-of-county facilities by other agencies are exempt from the RFP process requirement. The clients currently receiving services in the Unity Care group home program were placed by the Human Services Agency. The need for these services required that the placements take place prior to the completion of the Agreement. The Agreement was delayed because BHRS staff had to develop and incorporate new TBS language to comply with new State TBS regulations.
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This Agreement has been reviewed and approved by County Counsel and Risk Management. The Agreement includes all provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits and jury service policy.
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FISCAL IMPACT:
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The term of this Agreement is August 28, 2008 through June 30, 2010. The maximum obligation is $280,900. For FY 2008-09, the maximum obligation is $164,000 which is included in the BHRS FY 2008-09 Adopted Budget. Individuals with Disabilities Education Act (IDEA) funds along with funding from the State (SB 90) to pay for mandated programs that are not otherwise funded will cover $134,480 of the costs. The total Net County Cost for FY 2008-09 is $29,520. Funds requirements for FY 2009-10 will be lower than the amounts requested for FY 2008-09 as the clients are expected to progress to lower levels of care during that period. The revenues and expenditures for FY 2009-10 will be included in the BHRS FY 2009-10 Recommended Budget.
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