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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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May 3, 2010
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BOARD MEETING DATE:
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June 8, 2010
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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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Agreement with Fred Finch Youth 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 Agreement with Fred Finch Youth Center for the provision of Therapeutic Behavioral Services, Crisis In-Home Stabilization Program services, Full Service Program services, Day Treatment services and associated outpatient mental health services for children and youth, for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $1,571,614; 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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BACKGROUND:
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Behavioral Health and Recovery Services (BHRS) has contracted with Fred Finch Youth Center (FFYC) for Crisis In-Home Stabilization Program services and Therapeutic Behavioral Services (TBS) since 1999. TBS are short-term behavioral intervention services for severely emotionally disturbed (SED) youth experiencing stressful transitions or life crises and who are at risk of placement in an institution or intensive residential program.
On February 1, 2010, FFYC expanded their Visiting Therapist Program into the more encompassing Full Service Partnership (FSP) program without interruption in the provision of services. The additional support services available in the FSP enabled County clients to maintain their respective placements and/or to receive expanded services, with the goal of reinstatement with their natural families.
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DISCUSSION:
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Under the B-1 Administrative Memorandum the selection of providers of mental health services for clients placed in out-of-county facilities by other agencies is exempt from the Request for Proposals (RFP) process requirement.
The Agreement with Fred Finch Youth Center shall be for one year and will continue TBS, SED, and FSP services to County of San Mateo youth (ages 5 through 18) and their families. Services will be available seven days per week, 24 hours per day, with a goal of maintaining youth in the least restrictive and most home-like setting thus avoiding costly hospitalization and residential care.
BHRS anticipates revenues from various sources to be used to fund the services provided by Contractor through this Agreement. Should actual revenues be less than the amounts anticipated for any period of this Agreement, the maximum payment obligation and/or payment obligations for specific services may be reduced at the discretion of the Chief of the Health System or designee.
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County Counsel has reviewed and approved this Agreement and Resolution and Risk Management has approved the insurance coverage for this provider. 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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This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing mental health services to children and families. 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. It is anticipated that 75% of clients who receive services through this Agreement will be maintained at a current or lower level of care.
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Performance Measure:
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Measure
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FY 2009-10
Estimate
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Percentage of clients maintained at current or lower level of care.
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75%
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FISCAL IMPACT:
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The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $1,571,614. Of this amount $705,435 will be funded by federal Medi-Cal, SB 163 funds will provide $179,880, Mental Health Services Act funds will cover $143,904, which includes the required match for Medi-Cal, $293,747 will be covered by Early Periodic Screening, Diagnosis, and Treatment (EPSDT), $96,816 will be covered by Realignment, and $104,992 will be covered by AB 3632. The Net County Cost is $46,840. Funds for these services have been included in the BHRS FY 2010-11 Recommended Budget.
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