Inter-Departmental Correspondence
Health System



May 14, 2010


June 8, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Milhous Children’s Services, Inc.



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Milhous Children’s Services, Inc. for the provision of Day Treatment, mental health services, and Therapeutic Behavioral Services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $384,000; 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 or services is/are within the current or revised fiscal provisions.



Milhous Children’s Services, Inc. provides Day Treatment, medication support, mental health, crisis intervention and Therapeutic Behavioral Services (TBS) to San Mateo County youth placed in this out-of county facility.


Under the B-1 Administrative Memorandum, selection of providers of mental health services for clients placed in out-of-county facilities by other agencies are exempt from the requirement for a Request for Proposals (RFP) process.



Contractor shall provide Day Treatment Intensive Services, medication support services, mental health services, crisis intervention services and TBS for three San Mateo County youth. These youth were placed by the San Mateo County Human Services Agency.


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 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.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing mental health services to seriously emotionally disturbed youth. 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 76% of clients who receive services through this Agreement will be maintained at a current or lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients maintained at current or lower level of care





The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $384,000. Of that amount, it is anticipated that $64,334 will be funded by Medi-Cal Federal Financial Participation, $281,066 will be funded by Individuals with Disabilities Education Act (IDEA) and $38,600 will be funded by Early Periodic Screening, Diagnosis and Treatment. There is no Net County Cost. Funds for these services have been included in the BHRS FY 2010-11 Recommended Budget.