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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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April 24, 2009
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BOARD MEETING DATE:
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May 19, 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, Behavioral Health & Recovery Services
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SUBJECT:
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Amendment to the Agreement with Charis Children’s Center
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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 Amendment to the Agreement with Charis Children’s Center for Day Treatment Intensive Services, medication support services, mental health services, crisis intervention services, and Therapeutic Behavioral Services for San Mateo County youth, increasing the Agreement maximum by $304,819 to a new maximum of $394,819 and extending the term through June 30, 2010; and
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2) Authorizing the Chief of the Health System or 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 amended Agreement contributes to this commitment and this goal by providing Day Treatment Intensive Services, medication support, mental health services, crisis intervention, 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 in this Agreement contribute to this measure.
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Performance Measure:
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Measure
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Percentage of clients maintained in current or lower level of care.
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76%
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76%
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BACKGROUND:
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On June 13, 2008, the County Manager approved an Agreement with Charis Children’s Center for the provision of Day Treatment Intensive Services, medications support, mental health services, crisis intervention, and TBS to San Mateo youth. The Agreement was for a maximum obligation of $90,000 for the term July 1, 2008 to June 30, 2009. Under the B-1 Administrative Memorandum, services required for specific clients placed in out-of-county facilities by other agencies are exempt from the Request for Proposals process requirement. The clients currently receiving services in the Charis Children’s Center program were placed with this provider by Juvenile Probation.
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DISCUSSION:
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During the first half of FY 2008-09, the volume of services provided by this Agreement increased as two additional clients were placed with this provider, bringing the client count to three. This Agreement is being amended to increase the funding for the additional services and to extend the term through June 30, 2010. The amount of funding requested for the additional fiscal year is based on an annualized monthly rate for the first half of FY 2008-09. Payments are made for actual services provided.
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This Amendment 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.
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FISCAL IMPACT:
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The term of the amended Agreement is July 1, 2008 through June 30, 2010. The maximum obligation is increased by $304,819 from $90,000 to a new maximum of $394,819. For FY 2008-09 the maximum is $197,410 which is included in the BHRS FY 2008-09 Adopted Budget. Of that amount, $130,291 is from federal Medi-Cal, $37,508 is from Healthy Kids, and $29,611 is Net County Cost. For the second year $197,409 is included in the BHRS FY 2009-10 Recommended Budget.
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