Inter-Departmental Correspondence
Health System



June 18, 2010


July 13, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Charis Youth Center



Adopt a Resolution authorizing the:

A) President of the Board to execute an Agreement with Charis Youth Center for the provision of Day Treatment Services, medication support services and Therapeutic Behavioral Services, for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $222,410; and


B) 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.



On June 13, 2008, the County Manager approved an Agreement with Charis Youth Center for the provision of Day Treatment Intensive Services, medication support, and Therapeutic Behavioral Services (TBS), to San Mateo County youth for the term July 1, 2008 through June 30, 2009, for a maximum obligation of $90,000. 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.


Two additional youth were placed with Contractor, increasing the volume of services from one to three. On May 19, 2009, your Board approved an Amendment to the Agreement for these services extending the term through June 30, 2010 and increasing the maximum obligation to $394,819.



Contractor shall provide Day Treatment Intensive Services, medication support, and TBS to three San Mateo County youth. Services include: psychological assessment, evaluation and plan development; individual and group psychotherapy; recreational therapies; and psychosocial and functional skills development. Services are operated in compliance with regulations as stipulated in the contract between the State Department of Mental Health and San Mateo County. These youth were placed by the San Mateo County Probation Department.


The Contractor’s insurance 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. This Agreement is on the Continuing Resolution.


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 mental health services to San Mateo County 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 will be maintained at a current or lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients maintained in current or lower level of care





The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $222,410. Of that amount, it is anticipated that $61,683 will be funded by Medi-Cal Federal Financial Participation, $37,010 will be funded by Individuals with Disabilities Education Act (IDEA), and $123,717 will be funded by sales tax through Realignment. There is no Net County Cost. Funds for these services have been included in the BHRS tentatively Adopted FY 2010-11 Budget.