Inter-Departmental Correspondence
Health System



April 30, 2010


May 25, 2010







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



Adopt a Resolution:

1) Waiving the Request for Proposals requirement for peer counseling services for older adults; and


2) Authorizing the President of the Board to execute an Agreement with Family Service Agency of San Mateo County for the provision of senior peer counseling services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $283,140; and


3) 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.



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.


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) 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 will provide non-clinical services through the Senior Peer Counseling Program. This program will provide bilingual/multi-cultural senior peer counseling services targeting the County’s older adult population, including the Chinese and 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.


BHRS is requesting a waiver of the RFP process for this Agreement in order to contract with this unique provider of these services.


The Agreement has been reviewed and approved by Risk Management, and the Agreement and Resolution have been approved by County Counsel. 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.


Subsequent to the final adoption of the State budget it may be necessary to make changes to this contract in order to reflect legislative action. This contract is recommended to your Board at this time in order to provide a continuity of services to the community until final funding levels can be determined. The contract provides that the County may reduce the scope of the contract to reflect any shortfall in funding from State or federal allocations.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing senior peer counseling services for older adults needing supportive 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 senior peer counseling is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 65% of clients who receive services through this Agreement will reflect ethnic target populations.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients reflecting ethnicity of target populations





The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $283,140. Of that amount, it is anticipated that $273,140 will be funded by MHSA, and $10,000 will be funded by Agency on Older American Act grant. There is no Net County Cost. Funds for these services have been included in the BHRS FY 2010-11 Recommended Budget.