Inter-Departmental Correspondence

Health System



May 13, 2009


June 9, 2009







Honorable Board of Supervisors


Jean Fraser, Chief, Health System


Mary J. Hansell, Director, Family Health Services



Amendment to Agreement with LaFrance Associates



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Amendment to the Agreement with LaFrance Associates to expand services for the term February 1, 2006 through December 31, 2010, and increase the maximum obligation by $5,000 from $165,000 to $170,000; and


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 of services is/are within the current or revised fiscal provisions.



Commitment: Ensure basic healthy and safety for all.

Goals 5 and 8: Residents shall have access to healthcare and preventive care; and Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others –achieve a better quality of life


This amended Agreement contributes to this commitment and these goals by evaluating progress towards reducing repeat teen pregnancies among teen parents, and facilitating program modifications if health outcomes are not being met.


Performance Measure:


FY 2008-09

FY 2009-10

Percentage of repeat teen pregnancies





San Mateo County has been one of only a handful of successful federally funded Adolescent Family Life Project (AFLP) grantees across the nation. Since 1995 program staff have been delivering successful case management services to high risk adolescent parents and their siblings. With the addition of a “Young Dads” program and mental health counseling, the project was able to secure a third five-year grant in September 2005. The funding has enabled AFLP to continue its successful programs for teen parents and their children.


As a stipulation of the grant, the federal Office of Adolescent Pregnancy Programs required a contract with an independent, university-affiliated evaluator/evaluation team to provide a rigorous five-year evaluation of the project. On May 23, 2006, your Board approved an Agreement with LaFrance Associates to provide these services.


This Amendment provides funding to LaFrance Associates to provide additional services to the County for a new federal requirement: participation in a national Cross-Site Evaluation. This Cross-Site Evaluation requires an additional submission to the Institutional Review Board and translation of additional documents into Spanish, among other services.



The required program evaluation focuses on key interventions including case management for teen mothers and fathers, mental health counseling for individuals and couples, play groups for infants and toddlers, support groups, and social events. The program evaluation provides feedback on quality assurance, program planning, development and implementation, and sustainability.


The term of the Agreement remains February 1, 2006 through December 31, 2010. The Amendment will include additional services needed to fulfill the grant requirements.


The amended 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 Agreement maximum is being increased by $5,000 from $165,000 to $170,000. Program evaluation is fully funded by grant monies received from the federal Office of Adolescent Pregnancy Programs. The expense associated with this Agreement is included in the Family Health Services FY 2009-10 Recommended Budget. There is no Net County Cost.