Inter-Departmental Correspondence

Health System



April 27, 2009


May 19, 2009







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Family Service Agency of San Mateo County for Senior Peer Counseling Services



Adopt a Resolution authorizing the President of the Board to execute an Agreement with the Family Service Agency of San Mateo County for Senior Peer Counseling Program services for the term July 1, 2009 through June 30, 2010, for a maximum obligation of $283,140.



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.


This Agreement contributes to this commitment and goal through the provision of senior peer counseling for older adults who are in need of supportive services.


Performance Measure:


    FY 2008-09

    FY 2009-10

Percentage of clients reflecting ethnicity of target populations





Volunteer senior peer counseling services have been identified in the President's New Freedom Commission on Mental Health Report as a critical component of effective community mental health systems. They are also cited as a key service strategy in the Mental Health Services Act (MHSA) requirements. These services are essential to promoting wellness/recovery for older adults and supporting them in achieving the highest possible quality of life. Senior peer counseling services are cost effective and have been found to reach and engage older adults who are experiencing mental health issues and are in need of supportive services. San Mateo County has a long history of supporting these services. Since February 2008 these program services have been provided through a contract with the Family Service Agency of San Mateo County.


In May 2007 Behavioral Health and Recovery Services (BHRS) released a Request For Proposals (RFP) to select a provider for the continued operation and expansion of the Senior Peer Counseling Program. The Family Service Agency of San Mateo County (FSA) proposal was selected. FSA has worked with the senior population of San Mateo County since 1984. FSA has expanded the program during its initial seventeen-month contract period to serve an additional 185 ethnically diverse older adult clients. FSA exceeded their goal of 59% client ethnic diversity for FY 2008-09.



BHRS is entering into a non-clinical services Agreement with FSA for FY 2009-10 for the continued provision of Senior Peer Counseling Program services. This program will provide bilingual/multi-cultural senior peer counseling services targeting the County’s older adult population. During the previous contract period FSA expanded the program to include both a Chinese and a Filipino component. FSA will continue to oversee and administer the current program and will expand services with a focus on developing a lesbian, gay, bisexual, transgender focused component and increasing outreach and services in previously underserved geographical areas. FSA program staff will recruit, train, and supervise volunteers who will provide direct individual and group services to older adults.


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 July 1, 2009 through June 30, 2010. The maximum obligation is $283,140, which is included in the BHRS FY 2009-10 Recommended Budget. Funding for these services shall be as follows: $10,000 is from an Agency On Aging Older Americans Act grant, and the remaining $273,140 is from MHSA funding. There is no Net County Cost.